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Will you be negatively impacted by the comprehensive mandatory vaccinations by 8 November 2021?
*
1.
What is your postcode where your service is operating in?
(Required.)
*
2.
How many of the following staff does your service currently employ?
(Required.)
Staff who work directly with children?
Staff who
DO NOT
work directly with children?
3.
How many of the following staff do you believe
WILL NOT BE
fully vaccinated by 8 November 2021?
Staff who work directly with children?
Staff who
DO NOT
work directly with children?
4.
Of those you believe
WILL NOT BE
fully vaccinated by 8 November 2021
AND
are staff who
WORK DIRECTLY
with children, how many align to the following situations/choices?
Choosing not to
Can't get an appointment
Medical reason(s) that a health practitioner
WILL
issue the required exemption
Medical reason(s) that a health practitioner
WILL NOT
issue the required exemption
Other
5.
Of those you believe
WILL NOT BE
fully vaccinated by 8 November 2021
AND
are staff who
DO NOT
WORK DIRECTLY
with children, how many align to the following situations/choices?
Choosing not to
Can't get an appointment
Medical reason(s) that a health practitioner
WILL
issue the required exemption
Medical reason(s) that a health practitioner
WILL NOT
issue the required exemption
Other
6.
If you used "OTHER" in Q4 & Q5, what are the OTHER reason(s)?
7.
Please provide any queries, comments, advice, suggestions that may be useful in ACA NSW's advocacies with the NSW Government:
8.
OPTIONAL & CONFIDENTIAL:
If you would like ACA NSW to contact you to discuss your concerns, please complete the following:
Full Name
Service Name
Position
City/Town/Suburb
E-mail Address
Telephone/Mobile Number
