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Community Assessment Questionnaire The Long Beach Department of Health & Human Services (Health Department), Public Health Emergency Management Division is collecting survey responses to help obtain valuable data that will allow for a better understanding of vaccine hesitancy surrounding routine immunizations, including flu and COVID-19 vaccines. 

The Health Department aims to better understand and develop new tools and approaches to address health disparities. This assessment allows for a better understanding of insights, feelings, attitudes and belief systems that influence health outcomes. 

Your anonymous participation in this survey provides the Health Department with crucial information to address hesitancies and improve access to vaccines. 

The survey can be found in English, Spanish, Khmer, and Tagalog below. 

Community Assessment Questionnaire Cuestionario de Evaluación Comunitaria