Medical Exemptions Survey about Medical Exemptions for the COVID shot Question Title * 1. Did you obtain a medical exemption from a physician for the COVID shot? Yes No Question Title * 2. What was the purpose of obtaining an exemption? To continue working To continue serving in the military To enter another country To attend school To attend summer camp To get a new job Other (please specify) Question Title * 3. How long did it take you to find a physician willing to write you an exemption and then get the exemption? A week or less 1 - 2 weeks 3 - 4 weeks More than a month Question Title * 4. Did you also submit a religious exemption? Yes No Question Title * 5. Was your medical exemption accepted the first time without question? Yes No Question Title * 6. If it was initially rejected, what was the reason for denial? None given Need more information Other (please specify) Question Title * 7. Did you eventually get the exemption granted? Yes, after 2 attempts Yes, after 3 attempts No Other (please specify) Question Title * 8. Which of the following best describes your current occupation? Student Teacher Military Service Full-time Parent Senior Management/Owner of a Company Attorney Media Physician, Physician's Assistant, Nurse or other Healthcare Provider Pharmacist Employee of a hospital, medical practice or pharmacy Law Enforcement Government employee Self-employed small business owner Employee for a large business not listed above Employee for a small business not listed above Other (please specify) Question Title * 9. Following the exemption request, what happened? Exemption granted, and I didn't get the shot. Exemption granted, and I decided to get the shot. Exemption denied, and I didn't get the shot. Exemption denied, and I decided to get the shot. Question Title * 10. Please describe any negative consequences you've experienced from the process of getting a medical exemption. Done
