Skip to content
Vaccination Questionnaire
This survey will be used to better understand COVID-19 vaccination status and beliefs among our Tribe. The survey is anonymous and should take no more than 10 minutes to complete.
1.
Have you received a COVID-19 vaccine?
Yes, the 1 dose Johnson & Johnson/Janssen vaccine
Yes, 1 dose of a 2-dose series (Moderna or Pfizer)
Yes, both doses of a 2-dose series (Moderna or Pfizer)
Not yet, but I plan to get the COVID-19 vaccine
No, I am not sure if I will get the COVID-19 vaccine
No, I do not plan to get the COVID-19 vaccine