Personal Assistant and Direct Payments Vaccine Survey
Have you had your first dose of the Covid-19 vaccine?
Have you had both doses of the Covid-19 vaccine?
If you have not had your Covid-19 vaccine, please confirm why
Not been offered / not sure who to contact to access appointment
Medically Exempt (must be confirmed by your GP)
Hesitant to have the vaccine (please state what your hesitancy is below)
If you are hesitant
to have the vaccine please state why below:
Please include any comments you wish to raise with us on the vaccination programme