Take our survey

With Unity For Immunity, the Township, Library, our healthcare professionals and YOU can make a healthier community, prevent illness, and return to a time when we can be together safely as soon as possible. 

What are your feelings toward the COVID-19 vaccination program?  The East Brunswick Advisory Health Council and I would like to know.  We are asking each resident to complete this brief survey now.  The survey is anonymous, so you can be totally honest with your answers.  Please complete a survey for each member of your household.

The goal is to listen to your concerns, and provide information that supports a person’s ability to make a more informed decision for themself--and their loved ones.  

Sincerely,
Mayor Brad Cohen

Please complete your survey now.  It would be greatly appreciated.

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* 1. How willing are you to receive the COVID-19 vaccine when available?

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* 2. If you are undecided or not willing, please check the reason(s) why:

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* 3. Do you need more information about the vaccine to help you make an informed decision?

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* 4. If you need additional information about the COVID-19 vaccine, please check the ways you would like it delivered to you.

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* 5. In what language would you like to receive COVID-19 information?

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* 6. Which of the following describes you? You may check more than one.

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* 7. What is your age group?

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