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* 1. Have you received a COVID-19 vaccine yet?

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* 2. If you have not received the vaccine, do you plan on receiving it?

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* 3. Do you believe the COVID-19 vaccines that are currently available are safe?

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* 4. Will you be recommending the COVID-19 vaccine to patients?

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* 5. Do you have necessary information to provide to patients about the science of the vaccine?

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* 6. Do you have the necessary information about where in the vaccination prioritization plan you, your staff and your patients can receive the vaccine?

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* 7. Do you have a vaccination policy for your staff? (i.e. are you requiring staff to be vaccinated?)

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* 8. What is your current practice model.

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* 9. What are your biggest challenges in COVID-19 vaccination efforts at this point?

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* 10. Does your practice want to serve as a COVID-19 vaccination location?

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* 11. What other information regarding the COVID-19 vaccine would you like us to know? How can NCMS assist you and your practice?

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