Please answer the questions below, to update us on your progress towards vaccinating your residents and staff for COVID-19. Minnesota Department of Health (MDH) will use this information to improve communication, distribution, and support for COVID-19 vaccination.

Please identify a single person in your facility to do this reporting on a weekly basis.

If you are responsible for multiple facilities (e.g., nursing facility and assisted living facility), you will need to complete a separate survey for each.

If you have a time-sensitive question about vaccination in long-term care settings, please email health.covid.vaccine@state.mn.us.

Thank you!

SEOC LTC Response Leaders

Loading... Loading...
You have selected an option that triggers this survey to end right now. To save your responses and end the survey, click the button below to do so. If you have selected the wrong option by accident and do not wish to leave the survey, you may click the other button below to continue, which will also remove the value of the option you just selected to allow you to enter it again and continue the survey.
The response has now been removed for the last question for which you selected a value. You may now enter a new response for that question and continue the survey.