TCP Pre-Screening form
To prevent the spread of COVID-19 and reduce the potential risk of exposure to our congregation, we are conducting a simple screening. Your participation is important  to help us take precautionary measures to protect you and everyone in this facility. We request you complete this screening everyday prior to entering.
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Name *
Surname *
Mobile number *
Email *
Gender
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Ward *
Symptoms *
Yes
No
Unknown
Sore Throat
Runny nose
Cough
Shortness of breath
Vomitting
Nausea
Diarrhea
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