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Flu Vaccine Appointment
Cita para la vacuna contra la gripe
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Name/Nombre
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Your answer
Email/Correo Electrónico
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Your answer
Phone number/Número de Teléfono
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Your answer
Date of Birth/Fecha de Nacimiento
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MM
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DD
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YYYY
Zip Code/ Código Postal
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Are you an SDSU Student/ Eres Estudiante de SDSU
*
Yes / Si
No
Are you an SDSU Faculty or Staff Member/ Es usted miembro de la facultad o del personal de SDSU
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Yes / Si
No
Are you a farm worker?/
Es usted trabajador del campo?
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Yes/Si
No
Questions/Preguntas
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