COVID Vaccination Status

We are keen to support all our colleagues in getting their second vaccination to further reduce the risks of Covid illness. To ensure we do this we need to know who has received their 2nd vaccine so we can support those who have yet to be vaccinated.

Could we therefore ask that you take two minutes to complete the survey, to help us make sure our data is complete, and that everyone is as safe as possible.

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* 1. Are you vaccinated against COVID-19?

Yes I have received both doses of the vaccine

I have received my first dose of the vaccine and intend on getting the second dose

I have received my first dose of the vaccine and do not intend on getting the second dose

I have not been vaccinated

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* 2. If you have received both doses of the vaccine could you confirm where the second dose was administered

Watford General Hospital | Watford Stadium

CLCH Harpenden

Lister Hospital (ENHT)

Princess Alexandra Hospital (PAH)

Harlow Leisure Zone

Robertson House

Hemel Hempstead

St Margarets

Alban Arena (St Albans)

Bishops Football Club (Bishops Stortford)

Other (please specify)

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* 3. Please confirm if you are part of our BAME workforce?

Yes

Rather not say

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* 4. Which gender do you identify with?

Female

Male

Rather not say

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* 5. Have you been identified as clinically extremely vulnerable in line with the government guidelines?

Yes

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* 6. Do you care for someone that is clinically extremely vulnerable in line with government guidelines?

Yes

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* 7. Do you have any other comments or contributions that you would like to make with regard to the vaccination process?

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* 8. Which CCG are you from?

Herts Valleys CCG

East and North Herts CCG

West Essex CCG

Rather not say

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* 9. Please let us know who you are (optional)

Name:

Keeping yourself safe matters to your CCG and the NHS, loved ones, friends, colleagues and those you are yet to meet.

For more information on the COVID-19 vaccination go to the Herts and Essex https://academy.healthierfuture.org.uk/staff-development/covid-19-vaccine/bame-resources

Thank you for taking the time to assist us.