DR UK/CII Covid vaccinations survey

This survey is for residents of the UK only.

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* 1. Are you medically unable to receive a COVID vaccine?

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* 2. Have you had a COVID vaccine and had a severe adverse reaction to it which has left you unwilling or unable to have further vaccinations?

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* 3. Can you tell us about your personal circumstances which prevent you from having a first or further COVID vaccine?

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* 4. Are you happy for your testimony to be shared with third parties (ie the press or as examples in communication with the Government Department for Health and Social Care? If we do this,  we will not use your name, age or location)?

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