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* 1. How do you feel about getting the COVID-19 vaccine?

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* 2. If your answer is other than “I will get the vaccine or I have already got the vaccine, “what is your reason for not wanting to take it?

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* 3. Have you or someone you know gotten COVID -19?

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* 4. Are you concerned about the COVID-19 pandemic?

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* 5. Do you usually wear a mask or face covering when in public?

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* 6. Do you stay at home when you are feeling sick?

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* 7. What is your age group?

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* 8. What is your zip code?

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* 9. If you would like to get a vaccine, have you been able to get one?

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