Covid-19 Vaccination Survey

Covid-19 Vaccination Survey

Hillsdale Hospital is considering holding a Covid-19 vaccination clinic at Waldron Area Schools. We are asking for your input!

Question Title

* 1. Would you receive the Covid-19 vaccination if there were a clinic in Waldron?

Yes

No

I am already vaccinated.

Question Title

* 2. If you would receive the vaccination, how many in your household (ages 16 and older) would participate in the vaccination?

1

2

3

4

5+

N/A (already vaccinated/choose not to be vaccinated)