Benton County Phase 1a and Phase 1b

With anticipation that Oregon will not have enough vaccine doses for all recipients immediately, Oregon established a phased distribution plan. 

This survey is for individuals, and their households, and agencies who are in Phase 1a or Phase 1b Groups 1, 2, 3, 4, and 5 as defined by Oregon Health Authority (OHA). 
     - Phase 1b Group 1 includes Educators/Child Care Providers.       
     - Phase 1b Group 2 includes Oregonians 80 and older.
     - Phase 1b Group 3 includes Oregonians 75 and older.
     - Phase 1b Group 4 includes Oregonians 70 and older.
     - Phase 1b Group 5 includes Oregonians 65 and older.

This is a survey that will help us reach out and schedule you to receive the vaccine when you are eligible and when supply becomes available.

Please complete all fields to the best of your ability. Numbers are intended to be estimates and used for planning purposes.

As we move through the different phases of distribution and roll out, the County will continue to prioritize needs based on the most current OHA guidance. Your help and partnership in this process is extremely valuable. 

Thank you for taking the time to fill out this survey.