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Vaccine Survey
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1.
What is your age group?
(Required.)
18 to 30 years
31 to 50 years
51 to 70 years
Over 70 years
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2.
Please select one statement below which best applies to you:
(Required.)
I have received the 1st dose and 2nd dose of the COVID- 19 vaccine
I have received the 1st dose of the COVID-19 vaccine and I am waiting for the 2nd dose of the COVID- 19 vaccine; or have made an appointment to receive the 1st dose of the COVID-19 vaccine
I intend and plan to receive the COVID- 19 vaccine
I am not planning to receive the COVID- 19 vaccine
I am not willing to disclose information relating to my intention or situation on receiving the COVID -19 vaccine
3.
In your opinion, what could Government do to encourage more people to take the vaccine?
Select any that apply.
Ease of travel
Reduced quarantine
Exemption from weekly testing
Financial incentives
Loosening of restrictions
Other :
4.
What suggestions would you have to encourage fellow members and / or employees to get vaccinated allowing the Club to open further?
Current Progress,
0 of 4 answered