The Summit Church | COVID-19 Information Form
Please fill out this form if you test positive for COVID-19 after attending any church event no matter how big or small. Thank you for filling this out as this is a service to the body of Christ.
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Email *
Full Name *
Phone Number *
What day did you get tested for COVID-19 *
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What day did you first have symptoms? Symptoms can include: "cough, sore throat, muscle/body aches, severe headache with fever, shortness of breath, vomiting, diarrhea, or loss of taste/smell." *
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What church events did you attend within 7 days of first symptom? Please give specific dates. *
Did you attend any of these church events after symptoms first appeared? *
If you attended a church event within 2 days of first symptom or after being symptomatic who did you have close contact with at the church event? Have they been notified?
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