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WSLC Vaccine Survey

We are surveying union members and working people in Washington state to compile a better understanding of who has been vaccinated, who still needs to be, and what barriers we can remove to improve access for all working people. We may use the contact information or answers you provide to contact you about opportunities to access COVID-19 vaccination. Thank you, in advance, for participating.

Name
Are you a union member?
Have you tested positive for COVID-19?
(This question is optional. Answering "yes" will not prevent you from receiving the COVID vaccine. We are trying to understand how many union members have tested positive.)
What race/ethnicity best describes you?
(Check as many as you like. This question is optional. We are trying to understand how this issue is affecting different people.)
Do you have accessibility needs such as live interpretation, ASL or translated materials into your preferred language to help you better access the vaccine?
What is your preferred language?
Are you disabled?
Are you a veteran?
What is your gender identity?
(Check as many as you like. This question is optional. We are trying to understand how this issue is affecting different people.)
Have you received a vaccine to protect against COVID-19?
Are you interested in more information and/or updates about availability for the vaccine?
People across our country have stood together, marching to demand liberty and justice, making it through this pandemic by pulling together, and rejecting attempts to divide us based on what we look like, where we come from or where we live. Are you ready to fight for working people?