JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Student Vaccine Survey
Please take a few minutes to help us collect this VERY important information. You can do this online or you can send back the paper survey with the meals. Thank you all for your important contribution.
* Indicates required question
Email
*
Your email
Do you believe that vaccines are an important tool in fighting communicable diseases?
Yes
No
No Opinion
Clear selection
Do you believe FDA-approved vaccines should be required for all eligible students attending Gila Crossing Community School (presently ages 5 and older)?
Yes
No
No Opinion
Clear selection
If the FDA-approved COVD19 vaccine were required for eligible students (presently ages 5 and older), would you continue to have your students attend Gila Crossing Community School?
Yes
No
No Opinion
Clear selection
Do you have any other comments related to vaccines for students? (Use back if more space is needed)
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Gila Crossing Community School.
Report Abuse
Forms
