Vaccine Interest Survey
We are conducting a survey to determine the interest level for Pfizer COVID-19 vaccine in children from 12-15 years of age.
What is the age of your child?
If Pfizer vaccine is granted emergency use authorization for children 12-15 years of age by the FDA, will you vaccinate your child?
If you choose to get your child vaccinated, which of our four counties would you be interested in receiving the vaccine in?
Not going to vaccinate my child
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This form was created inside of LMAS District Health Dept..