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COVID-19 Vaccine Survey
COVID-19 Vaccine Survey
Are you ready? Share your thoughts on the COVID-19 vaccine.
How old are you (in years)?
What is your gender?
Woman
Man
Non-binary or transgender
Prefer not to say
How easy is it to get vaccination services for yourself? Would you say…
Not at all easy
A little easy
Moderately easy
Very easy
How much would you trust the new Covid-19 vaccine if it were available for you now?
Not at all
A little
Moderately
Very much
How important do you think getting a Covid-19 vaccine will be for your health? Would you say…
Not at all important
A little important
Moderately important
Very important
If a Covid-19 vaccine were recommended for you, would you get it?
Yes
No
Not Sure
If you would not get a COVID-19 vaccine, why not?
Maximum: 255
Do you think most adults you know will get a Covid-19 vaccine, if it is recommended to them?
Yes
No
Not Sure
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