South Carolina Pulse Survey on COVID-19 Vaccination

Please enter your responses to the following statements.

Question Title

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

Yes

I don't know yet

Question Title

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

Strongly Disagree

Disagree

Neutral

Agree

Strongly Agree

Question Title

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

Strongly Disagree

Disagree

Neutral

Agree

Strongly Agree

Question Title

* 4. What county do you live in?

Question Title

* 5. Please select your age range:

Under 18

18-30

31-50

51-64

65+

I prefer not to answer

Question Title

* 6. What is your gender?

Male

Female

Non-Binary

Other

I prefer not to answer

Question Title

* 7. Please select your race or ethnicity:

White or Caucasian

Hispanic or Latino

Black or African American

Asian or Asian Indian

American Indian or Alaska Native

Middle Eastern or North African

Native Hawaiian or Other Pacific Islander

Other

I prefer not to answer

South Carolina Pulse Survey on COVID-19 Vaccination

Please enter your responses to the following statements.

Question Title

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

Question Title

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

Question Title

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

Question Title

* 4. What county do you live in?

Question Title

* 5. Please select your age range:

Question Title

* 6. What is your gender?

Question Title

* 7. Please select your race or ethnicity:

Question Title

* 8. Which best describes your current occupation?