This survey is for emergency service workers in Sacramento County who meet the California Department of Public Health definition for Phase 1B – Tier 1. 

This includes: Non-medical first responders, Law enforcement, Fire fighters, Child and youth services, Shelters, Non-residential social services for elderly and people with disabilities, Durable goods merchants (including safety devices), Justice and safety activities. 

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.

Question Title

* 1. First Name

Question Title

* 2. Last Name

Question Title

* 3. Work Title

Question Title

* 4. Employer

Question Title

* 6. Email Address

Question Title

* 7. Phone Number

Question Title

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

0 of 8 answered
 

T