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California COVID-19 vaccine survey Thank you for taking time to provide feedback. We estimate this will take 5 to 10 minutes of your time. It is more important than ever that our state government hear from Californians. This survey is an effort to give Californians the opportunity to share their experiences related to COVID-19 vaccines and their impact. Please be advised this survey is for informational purposes only. If you are experiencing an emergency, please dial 911 or your local authorities. OK Question Title 1. Do you get a flu shot or other vaccines (e.g., chicken pox, measles, mumps, rubella)? Yes No Not sure Question Title 2. Have your children ever taken a vaccine such as chicken pox, measles, mumps or rubella? Yes No Not sure I do not have children Question Title 3. How satisfied are you with the state of California's vaccination program? Very satisfied Somewhat satisfied Neither satisfied nor dissatisfied Somewhat dissatisfied Very dissatisfied Question Title 4. Do you plan to get a COVID-19 vaccine? I have taken or started taking a COVID-19 vaccine Yes No Not sure NEXT Powered by See how easy it is to create a survey. Privacy & Cookie Notice 0 of 33 answered