Yavapai County COVID-19 Vaccinations Survey

Question Title

* 1. Age

Under 18

18-24

25-34

35-44

45-54

55-64

65+

Question Title

* 2. In what ZIP code is your home located? (enter 5-digit ZIP code; for example, 00544 or 94305)

Question Title

* 3. Do you regularly vaccinate? i.e. flu shots, children's vaccinations, etc.

Yes

No

Sometimes

Question Title

* 4. Would you be interested in receiving a vaccination for COVID-19 when available?

Yes

No