Help us plan for vaccine supplies. Allegany County Department of Health is asking parents of children age 12-15 about vaccinating their children with Pfizer vaccine.

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* 1. Do you have a child/children between 12-15 years old?

Yes

No

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* 2. Are you planning to have your child/children age 12-15 years vaccinated for COVID-19 with Pfizer vaccine?

Yes

No

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* 3. If you answered YES, to Question #2, how many children would you like to be vaccinated with Pfizer COVID-19 Vaccine? If you answered NO to Question #2, you may submit the survey.

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* 4. What school district do your children go to?