COVID VACCINE ENQUIRY
If you're here, its most likely that you listened to my podcast episode "my Covid Experience". I'm grateful to you for clicking this link. Its a very short survey and you have the option of staying anonymous. thank you for your time.
Sign in to Google to save your progress. Learn more
Where do you reside? *
Have you gotten your covid vaccine? *
if no. why?
what's your name?
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy