Vax Populi Registration & Pre-Event Survey
Good day!

Thank you for registering for "Vax Populi: Driving Vaccine Acceptance!"

Kindly share with us your thoughts on vaccinations and answer the pre-event survey below. Your answers will only be used to gauge opinion for this event, will be kept in strict confidence, and will not be shared by the event organizers.

Thank you very much and see you!
 
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Email *
Name *
Organization *
Will you have yourself vaccinated? *
Why or why not? *
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