Irvine Seniors Vaccination Survey

The City of Irvine is conducting this short survey to understand how many of our residents have been vaccinated.

This survey will not provide vaccination access nor will it be used to gather personal information.

Results of this survey will be used solely to help us better serve our residents and work with other agencies to establish future access to vaccinations.

Question Title

* 1. Are you an Irvine resident?

Yes, I live in Irvine.

No, I live in this city:

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* 2. Are you a member of any of the following Irvine programs (select all that apply):

Meals on Wheels Participant

Congregate/Grab-n-go Meals Participant

TRIPS Participant

I am not in any of these programs.

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* 3. Have you received the COVID-19 vaccination yet?

Yes, I have received the first dose.

Not yet, but I am scheduled to have the first dose.

Yes, I have received both the first and second doses.

No, I have not yet been vaccinated and do not have an appointment.

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* 4. What is your age group?

<18

18-24

25-34

35-44

45-54

55-64

65-74

75+