Thank you for taking time to provide feedback.

We estimate this will take 5 to 10 minutes of your time.

It is more important than ever that our state government hear from Californians. This survey is an effort to give Californians the opportunity to share their experiences related to COVID-19 vaccines and their impact.
 
Please be advised this survey is for informational purposes only. If you are experiencing an emergency, please dial 911 or your local authorities.

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* 1. Do you get a flu shot or other vaccines (e.g., chicken pox, measles, mumps, rubella)?

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* 2. Have your children ever taken a vaccine such as chicken pox, measles, mumps or rubella?

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* 3. How satisfied are you with the state of California's vaccination program?

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* 4. Do you plan to get a COVID-19 vaccine?

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