LETS RATE OUR HEALTH

Name (Optional)

First

Last

Gender *

Age *

Zip Code *

Email- We email results of the survey. *

How many Covid-19 Vaccines injections, including boosters, did you receive? *

How many times did you get diagnosed with Covid-19? *

Did your health improve after taking the Covid-19 Vaccine? *

How would you rate the medical industry performance during Covid-19? *

How would you rate the U.S government's performance of managing Covid-19? *

How would you rate your overall Health prior to Covid-19? *

Have you had any serious illness in 2021 and/or 2022? *

How would you rate your overall Health now? *

How would you rate your Mental Health prior to Covid-19? *

How would you rate your Mental Health now? *

Has anyone in your family died within a week after taking the Covid-19 Vaccine? *

Have you had any adverse effects from the Covid-19 Vaccine? *

Do you feel the Covid-19 Vaccine is *

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