Skip survey header

Critical and Essential Workforce COVID-19 Preliminary Vaccination Survey

Critical and Essential Workforce COVID-19 Preliminary Survey

Central Michigan District Health Department is looking to collect some preliminary information at this time from organizations.  We are communicating with our hospitals systems and other healthcare facilities in the area, as well as possibly other local health departments and regional healthcare coalitions; therefore, information provided may be shared with these partners for community planning purposes.

More information on Critical/Essential Workers can be found at:  The MDHHS Prioritization of Critical/Essential/Front Line workers may change.

We ask that you answer the questions in this survey as best as you can.  Thank you for your time.  
This question requires a valid date format of MM/DD/YYYY.
2. Please select your type of facility/organization. *This question is required.
4. What county is your facility/organization in? *This question is required.