Christ Temple Apostolic Faith Assembly COVID-19 Wellness Survey
Please enter a valid phone number.
Have you been exposed to someone who has been diagnosed with COVID-19?
If Any One Has The Following Symptoms, Please Check The Appropriate Box.
Shortness of breath
Have You Received Your Covid-19 Vaccine? (optional)
To Prevent The Spread Of The Covid-19 And To Help Protect Others, I Agree To Follow The Christ Temple Guidelines. I Understand, Read, And Completed This Survey Truthfully. I Will Take Responsibility For My Answers And Hold Christ Temple Harmless.
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