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.
1.Are you an Irvine resident?(Required.)
2.Are you a member of any of the following Irvine programs (select all that apply):(Required.)
3.Have you received the COVID-19 vaccination yet?(Required.)
4.What is your age group?(Required.)