Voluntary Employee Survey: COVID-19 Vaccine

HMS Mfg. Co. is requesting input from employees regarding the COVID-19 vaccine and other related topics.  We hope this survey will assist us in evaluating next steps and options as we update our workplace policies as we all work together to slow the spread of COVID-19. 


Your participation is purely voluntary and completely anonymous.


The CDC states: “COVID 19 vaccination will help keep you from getting COVID-19.”   As we have stated before, HMS Mfg. Co. is encouraging you get the vaccine, but we are not requiring it.


For more information about the vaccination, please visit:


Thank you for your understanding and for your time.

1. Have you received the COVID-19 vaccine?
2. If you have not yet received the COVID-19 vaccine, do you plan to get it?
3. If you are hesitant to get vaccinated, are there any specific factors that might increase your willingness?
4. Would you find it helpful if HMS Mfg. Co. provided employees with resources on the COVID-19 vaccine such as educational information and state/county vaccination schedules?

Thank you for your input. If you volunteer to complete this anonymous survey, could you kindly complete it by Friday, June 4, 2021.