LMZ Pre-Screening Report
This should be filled out for each person entering the church facility. If the person responding to this pre-screening report has a temperature greater than or equal to 99 or answers "Yes" to any questions below, the person should go home and follow guidance from their health care provider.
Sunday's Date
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Name
Telephone Number
Have you experienced any of the following symptoms in the last 72 hours: Fever of 100 or greater, chills, muscle pain, rash, headache, diarrhea, sore throat, shortness of breath, or new loss of taste or smell? In the last 10 days, have you tested positive or been in close contact (within 6 feet for 15 minutes or more) with someone who has tested positive for COVID-19?
Clear selection
Occasionally, we pan the audience with a video camera, do you have a problem with being recorded when we do that?
Clear selection
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