1. What is your age range?

12-19
20-29
30-39
40-49
50-59
60 and older

2. What is your gender at birth?

Female
Male

3. How easy was it to make an appointment at our clinic?

Very Easy
Moderately Easy
Difficult
Very Difficult
I was a Walk-in

4. How did you hear about our clinic?

Flyer
Social Media
Family and/or Friends
The News
Website
Community Advertising
Other

5. Which Covid-19 vaccine is this for you?

1^st
2^nd

6. If you had an appointment with us, did we attend to you early, late, or on time?

Early
On Time
Late