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COVID-19 May 2021 Questionnaire

COVID-19 Questionnaire May 2021

We are VERY excited to have our vibrant community start to get together again, even as there will still need to have procedures in place to keep our members safe and healthy.


The purpose of this questionnaire is to assess the May 2021 attendees' views on safety at the retreat. Please include as much information as possible. If the questions don't seem to assess aspects of COVID that you consider important, please include any comments in the final question.

Please note that this information is kept strictly confidential.

Where 1 is "Not At All Likely" and 5 is "Highly Likely", please rate the following:


Where 1 is "Much Less Likely" and 5 is "Much More Likely", please rate the following scenarios:

Are you fully vaccinated for COVID-19? Or Will you definitely be fully vaccinated by the time you arrive at Easton Mountain?
Only answer these questions if it is highly likely you will be fully vaccinated by the time you arrive at Easton Mountain. Otherwise, change your answer to the previous question so you see the related questions for you.
Would you be willing to share a lodging room with another vaccinated guy?
Is there specific person you'd like to request as a roommate (roommate assignments will be done base on mutual requests and the number of rooms available)?
Please confirm that if required, that you are willing to do all of the following (click all boxes to confirm):
Only answer these questions if it's not highly likely that you will be fully vaccinated (or would prefer not to say).
Will you be traveling from outside the U.S. to arrive at Easton Mountain?
Please confirm that if required, that you are willing to do all of the following (click all boxes to confirm):

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