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Vaccine Interest Survey
1.
Do you plan to get a Covid 19 vaccine?
Yes
No
Still considering
I've already received my vaccine
2.
What is the best time for you to get a vaccine?
6-9am
9-5pm
4-8pm
Weekends
3.
Where is the best location to receive a vaccine?
Workplace
Mass Vaccination Site
Pharmacy
Healthcare provider's office
Small site in the community
4.
Additional Comments