The purpose of this survey is to ensure that all Native Americans with disabilities are able to access the COVID-19 vaccine. If you have a family member with a disability or you a Caregiver, we encourage you to fill out this survey from the family member's opinion. Thank you

Question Title

* 1. Age

Question Title

* 2. Gender

Question Title

* 3. Tribal Affiliation

Question Title

* 4. Which Community are you from or closest to?

Question Title

* 5. If you are a person with a disability (check all that apply)

Question Title

* 6. Have you receive your COVID-19 Vaccination?

Question Title

* 7. Through what health agency did you get your COVID-19 vaccine?

Question Title

* 8. If you have not received the COVID-19 vaccination, what are your concerns (check all that apply)?

Question Title

* 9. What are some difficulties for you to get teh COVID-19 vaccine (check all that apply)?

Question Title

* 10. If you don't want the COVID-19 vaccine, what are the reasons (check all that appply)?

0 of 10 answered
 

T