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BMS Staff Vaccination Survey (Chicago)
Please complete the following questions regarding your COVID-19 vaccination status:
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Name
*
First
Last
Work location:
*
What is the best phone number to reach you, if necessary?
*
Email
Are you fully vaccinated against COVID-19?
*
Yes, fully vaccinated
Partially vaccinated
No
No, but I plan to get vaccinated
When do you plan to get vaccinated?
Upload a copy of your COVID-19 vaccination record, if FULLY vaccinated:
Click or drag a file to this area to upload.
It may take up to a minute to upload the file. You may also provide a copy of your vaccination record to your manager, or email it to aosmanovic@bmsllc.com.
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