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  • Covid Vaccine Survey

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    John Majan
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    The document is a survey asking respondents to provide their name and indicate their COVID-19 vaccination status by checking the appropriate box for whether they have received no vaccine, a first dose, second dose, or booster. There are 44 names listed and boxes to check for vaccination status next to each name.

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    The document is a survey asking respondents to provide their name and indicate their COVID-19 vaccination status by checking the appropriate box for whether they have received no vaccine, a first dose, second dose, or booster. There are 44 names listed and boxes to check for vaccination status next to each name.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    9 views2 pages

    Covid Vaccine Survey

    Uploaded by

    John Majan
    The document is a survey asking respondents to provide their name and indicate their COVID-19 vaccination status by checking the appropriate box for whether they have received no vaccine, a first dose, second dose, or booster. There are 44 names listed and boxes to check for vaccination status next to each name.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 2

    Covid Vaccine Survey:

    ● Please encode your complete name and check on the box provided were you belong.

    Name No Vaccine 1st Dose 2nd Dose Booster


    1.Abejo
    2.Abunda
    3.Amparo
    4.Banagan
    5.Bao
    6.Bustamante
    7.Cabello
    8.Cahiles
    9.Canete
    10.Casanos
    11.Dal
    12.De La Serna
    13.Dunque,
    Patrick
    14.Dunque, Lala
    15.Estanilla
    16.Garcia
    17.Go, Bessy
    18.Go, Bianca
    19.Lagare
    20. Magsayo
    21.Majan, John A. /
    22.Mala-Amama
    23.Manila
    24.Monera
    25.Olivo
    26.Optina
    27.Pepito
    28.Quiblat
    29.Ramos
    30.Sajulga
    31.Salem
    32.Saludes
    33.Salvan
    34.Somo
    35.Tacubao
    36.Tagalongan
    37.Tan
    38.Tecson
    39.Testa
    40.Tuburan
    41.Umlas
    42.Waban
    43.Yu
    44.Zamora

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