Survey for COVID-19 Forum
We are asking church/community members to take a few moments to answer questions about their thoughts on the COVID-19 vaccine. This will help the Mount Hebron Missionary Baptist Church and experts in the community understand the church/community's educational needs for the COVID-19 vaccine. Thank you!
Will you accept a COVID-19 vaccine when it is available?
Yes
No
Unsure
Will you accept a COVID-19 vaccine if your employer recommends it?
Yes
No
Unsure
I am unemployed
Will you accept a COVID-19 vaccine if your healthcare provider recommends it?
Yes
No
Unsure
I do not have a regular healthcare provider
Where do you get your information currently about the COVID-19 vaccine? (Check all that apply)
I don't know if it is safe.
I don't know if it is effective.
Possible side effects from the vaccine.
I do not trust vaccines.
I do not trust the production and approval process for the vaccine.
Other
Where do you get your information currently about the COVID-19 vaccine? (Check all that apply)
Federal websites (CDC, HHS, etc.)
State websites (VDH, Governor's Office, etc.)
Social media (FB, Twitter, etc.)
Local and national TV channels
Local and national radio stations
Friends and family
Other
Your Age
Under 18
18-24
25-54
55-64
65+
Please take the opportunity to share anything else with us. We value your feedback.
Name
Submit
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