Vincentian COVID-19 Vaccine Feedback Survey

Thank you for participating in our COVID-19 Vaccine feedback survey, and for being among the first healthcare workers in America to receive the vaccine! All responses are completely anonymous.

Question Title

* 1. Would you recommend the COVID-19 Vaccine to your Vincentian Coworkers?

Yes

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* 2. Did you have any of the below side effects after the first dose? (Check all that apply)

Injection site pain

Tiredness

Headaches

Muscle pain

Chills

Joint pain

Fever

Injection site swelling

Injection site redness

Nausea

Feeling unwell

Swollen lymph nodes

No side effects

Question Title

* 3. Did you have a severe allergic reaction with any of the below symptoms? (Check all that apply)

No allergic reaction

Difficulty breathing

Swelling of your face and throat

A fast hearbeat

A bad rash all over your body

Dizziness and weakness

Vincentian COVID-19 Vaccine Feedback Survey

Question Title

* 1. Would you recommend the COVID-19 Vaccine to your Vincentian Coworkers?

Question Title

* 2. Did you have any of the below side effects after the first dose? (Check all that apply)

Question Title

* 3. Did you have a severe allergic reaction with any of the below symptoms? (Check all that apply)

Question Title

* 4. Would you like to share a testimonial or word of encouragement to your coworkers regarding the vaccine?