COVID-19 Vaccine
Pre-screening Survey


Please select which of the following applies to you:

I am in isolation (I have been diagnosed with Covid-19 and distancing myself from others)

I am quarantining (I have not been diagnosed but I have been exposed to someone who has)

I am sheltering in place (I have not been diagnosed or exposed to Covid-19 but am spending most of my time with minimum contact)

None of these apply