Covid-19 Vaccine Feedback Survey

*For Individuals with Sickle Cell Disease or their Caregivers completing on their behalf Only*

* I understand this request for information is ONLY to capture the COVID-19 Vaccine experience for individuals with Sickle Cell Disease that HAVE RECEIVED the Covid-19 Vaccination.
* What type of Sickle Cell Disease do you have?
* Age Range:
* Gender
* Which Covid-19 Vaccine did you get?
* What location did you receive your vaccination?
* Please Share Your Experience.
Would you be willing to share your experience with other Individuals with Sickle Cell Disease? If yes please provide us with your name and email address: