Community Pharmacy Vaccine Sign-Up

COVID Vaccination Survey

Vaccines are proven way to protect humans from infectious diseases. Adult vaccines are optional and voluntary. The COVID vaccines will soon be available to ASUTR employees.  In order to work with our local pharmacies, who will be administering the vaccine, we need to develop a list of employees interested in receiving the vaccine.  In addition, this will help us to prioritize those that may have special needs.  Please take a couple of minutes to answer a few questions.


Thank you for taking the time to submit your responses.  Please note that your information will remain confidential.  The information will only be used to develop the vaccine list.