banner

Welcome to the

Aspen COVID 19 Risk Assessment Update Survey.

Next you will now be directed to updating your comorbidity status

Comorbidities are listed as having any of the following conditions:

  • Diabetes

  • Heart Disease

  • High Blood Pressure

  • Hypertension

  • Immune Compromised

  • Kidney Disease

  • Liver Disease

  • Lung Disease

  • Severe Obesity

  • Older than 60

Please choose what applies to you below:

*

Please update your comorbidity status by selecting what applies below:

Please state the Other comorbidity conditions you are diagnosed with:

Please provide your updated Vaccination Status:

Note: Fully Vaccinated implies:
- At least 1 x Johnson&Johnson
or
- At least 2 x Pfizer

What is the reason for not getting your Vaccination?