Vaccine Interest Survey

Watonwan County Public Health is identifying individuals who are eligible and interested in receiving the COVID-19 vaccine. 

Priority has expanded to include the following groups of people starting 3/10/21:

1. People with specific underlying health conditions:
Sickle cell disease, Down Syndrome, or oxygen-dependent chronic lung or heart conditions, and those who are in active cancer treatment or immunocompromised from organ transplant

2. Food processing plants employees

3. People with rare conditions or disabilities that put them at higher risk

Once those priority groups have had an opportunity to receive their vaccine, providers will immediately begin offering appointments to:
1. People age 45 and older with ONE or more underlying medical conditions; or, age 16 and over with TWO or more underlying medical conditions (Active cancer, Chronic kidney disease, COPD (chronic obstructive pulmonary disease), Diabetes - Type 1 or 2, Down Syndrome, Heart conditions, such as heart failure, coronary artery disease, or cardiomyopathies, Immunocompromised state (weakened immune system) from solid organ transplant, HIV, bone marrow disease, chronic steroids for more than 30 days, immunodeficiency disease, or taking immunosuppressive medications, Obesity - body mass index (BMI) greater than 30 kg/m2, Pregnancy, Sickle cell disease)

2. People 50+ in multi-generational housing

3. Essential frontline workers from the following sectors:
Agricultural, airport staff, additional child care workers not previously eligible, correctional settings, first responders, food production, food retail, food service, judicial system workers, manufacturing, public health workers, public transit, Postal Service workers

Vaccine appointments are still available for the following priority groups:
- Minnesotans aged 65 or older
- Health care workers and people working at health care facilities, first responders who provide direct patient care as part of the EMS system, and primary caregivers for people with complex medical needs or disabilities
- Long-term care residents and staff members at long-term care facilities in Minnesota
- Pre-kindergarten through Adult Basic and Community Education school staff members, or contracted school staff members, at schools in Minnesota
- Child care staff members at licensed and certified child care centers or programs in Minnesota

https://www.facebook.com/WatonwanCountyPublicHealth 

https://www.co.watonwan.mn.us/

If you are completing the survey on behalf of an eligible family member or friend please enter in their information below

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* 1. First Name

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* 2. Last Name

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* 3. Phone Number

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* 4. Email

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* 5. Address

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* 6. How old are you?

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* 7. What is your date of birth? (month/day/year)

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* 8. Do you need a Spanish interpreter?

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* 9. Do you have a pre-existing medical condition?

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* 10. Please check any of the following conditions that apply to you:

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* 11. Do you currently live in a multi-generational housing environment? (3 generations or more)

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* 12. Are you currently a front line worker in any of the following sectors: Agricultural setting, airport staff, child care (licensed or not licensed) , correctional settings, first responders, food production, food retail, food service, judicial system  manufacturing, public health, public transit, postal Service, long term care, schools, health care, care giver for people with complex medical needs or disabilities

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* 13. Please enter which group you are currently affiliated/work with:

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* 14. Do you currently use a walker, cane, or wheelchair?

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* 15. Do you have access to transportation to attend a local COVID-19 vaccine clinic?

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* 16. Who is your primary care provider?

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