Your questions about COVID-19 vaccination
Sign in to Google to save your progress. Learn more
First and last name *
Area(s) of concern (Check all that apply) *
Required
Use this section if you would like to provide details about specific questions you have, but please do NOT include personal health information in this form.
Contact information (email address or phone number) *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Augsburg University.

Does this form look suspicious? Report