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* 1. What is your gender?

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* 2. What is your age?

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* 3. What county do you live in?

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* 4. What is your race or ethnicity?

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* 5. When it is available for the public, will you take the COVID-19 vaccine?

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* 6. If your employer recommends taking the COVID-19 vaccine, will you do so?

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* 7. If you answered "no" to the above questions, please tell us why you would not take the COVID-19 vaccine?

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