This survey is for education and child care workers in Sacramento County who meet the California Department of Public Health definition for Phase 1B – Tier 1.  

This includes: Home Day Cares, Child Care Centers, Preschools, Elementary and secondary school personnel, Community colleges, Colleges and universities, and Trade schools. 

Please complete the survey below if you wish to be emailed registration information for COVID-19 vaccination clinics.

*Registration is through Survey Monkey directly to Sacramento County Public Health staff. Sacramento County does not exercise any editorial control over additional surveys Survey Monkey may provide.

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* 1. First Name

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* 2. Last Name

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* 3. Work Title

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* 4. Employer

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* 6. Email Address

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* 7. Phone Number

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* 8. If you are responding on behalf of an agency or organization, how many employees need to be vaccinated?

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