Please enter your responses to the following statements.

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* 1. Once I am eligible to receive a COVID-19 vaccine, I plan to be vaccinated.

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* 2. I am confident that the COVID-19 vaccine is safe.

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* 3. I don’t need to get vaccinated because COVID-19 is not a danger to me.

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* 5. Please select your age range:

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* 6. What is your gender?

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* 7. Please select your race or ethnicity:

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