1.Please share your name, email and the name of the organization you are representing below.

Name

Email 

Organization

2.Do you provide transportation resources to help individuals get to their COVID-19 vaccine appointments?

Yes

No

3.If yes, please share about the service(s) you provide. Please include information about program eligibility, sign-up process, and program capacity, if possible.

4.Do you use any existing transportation resources to help individuals get to their COVID-19 vaccine appointments?

Yes

No

5.If yes, please tell us what resource(s) you use and whether you would recommend the resource to other partners.

6.Do you need additional transportation resources to best serve your community and ensure individuals can get to their COVID-19 vaccine appointments?

Yes

No

7.If yes, please expand on the transportation needs of the community you serve.

8.Do you have any additional recommendations related to COVID-19 transportation resources in Washington state?