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.  

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* 1. Please provide the following information.

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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?  

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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.)

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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.)

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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?

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