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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