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COVID-19 Vaccination ...
COVID-19 Vaccine
COVID-19 Vaccine
This questionnaire is designed to gather information regarding your readiness for COVID-19 vaccination, and offer guidance and instruction to ensure your safety.
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Welcome!
Do you have a registration code?
Do you have a registration code?
No
Do you have a registration code?
Yes
Bookable Resource Id
Registration Code
Pod Invitation
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Are you registered with us?
Are you registered with us?
No
Are you registered with us?
Yes
Internal Session Id
First Name
POD Check Restriction
Middle Name
Booking During Registration?
Booking During Registration?
Inactive
Booking During Registration?
Active
Last Name
Email Address
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Year
