ON Health Services COVID-19 Vaccination Survey

We want to hear from YOU!

1.What is your age?
2.Including yourself how many of your Native household members are 65+ and/or have been diagnosed with co-morbidities (i.e., diagnosed with more than one chronic disease)?
3.If you are planning to get a COVID-19 vaccine will you commit to receiving the booster vaccine that is required to be received 21 days after receiving the initial vaccine?
4.What are your feelings about the COVID-19 Vaccine?
I am skeptical about it and do not want it.
I feel a bit nervous about it and although I feel I need it I am just too scared/nervous to get it.
I do not have an opinion on it right now. 
I feel a bit nervous about it but feel the benefit will outweigh my nervousness so I will take it.
I feel it is a blessing and I am eager to get it.
5.Ultimately, do you plan to receive the COVID-19 vaccine?
6.Will you encourage/take your family to get the COVID-19 vaccine?
Current Progress,
0 of 6 answered