Interest in COVID Vaccinations within Schools

The purpose of this survey to gather information about COVID vaccinations to determine if and how Wood County Health Department could partner with the K-12 schools to make vaccine available within our communities. Thank you for taking the time to complete this survey.

Question Title

* 1. Please provide the following information.

Respondent Name *

Email Address

Phone Number *

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* 2. Do you have a student who is at least 16 years old who is interested in being vaccinated against COVID?

Yes

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* 3. What school/school district does your eligible student attend? (If you have an eligible student in more than school/school district, you may select more than one.)

All Saints

Bowling Green City Schools

Bowling Green Christian

Eastwood Schools

Elmwood Schools

Lake Schools

Montessori of Bowling Green

North Baltimore Schools

Northwest Ohio Montessori

Northwood Schools

Otsego Schools

Penta Career Center

Perrysburg Schools

Rossford Schools

Sleek Academy

St. Aloysius

St. Louis

St. Rose

Wood County ESC

Woodlane

I do not have an eligible student.

Other (please specify)

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* 4. Are there any other members of your household who want to be vaccinated against COVID? (They must be at least 16 years old to be vaccinated.)

Yes

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* 5. Including your student(s), how many people (aged 16 or older) from your household want to be vaccinated against COVID?

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* 6. Would you be interested in attending a COVID vaccination clinic that is offered in coordination with the schools/school districts?

Yes