COVID-19 Survey: Have you been vaccinated?
Spot poll by The Australian Filipina
Spot poll July 14, 2021
State your name (optional)
State your postcode *
Have you taken a COVID-19 test? *
Have you been vaccinated? *
Which vaccine did you get?
Clear selection
Did you experience side-effects after being vaccinated? *
Age *
Gender *
How many people live in your household?
Clear selection
Are you a healthcare professional? *
Thank you for your help. Please state your name and email address here if you want to get the results of this survey and be part of the draw to win a cash prize of $50. Maraming salamat!
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy