Visitor Screening Questionnaire
Triumph Church is committed to the safety of its employees, members, visitors and community partners. The COVID-19 guidelines are intended to help maintain our commitment to safety and help to prevent the spread of COVID-19. As new information becomes available from the Center for Disease Control and Prevention and World Health Organization, we will adopt necessary adjustments to help ensure safety and prevent the spread of the virus.

To help prevent the spread of COVID-19 and reduce the potential risk of exposure, please complete this screening questionnaire. Your honest participation is essential in helping our efforts to protect you and everyone in the building.

Thank you in advance for you time and cooperation.
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PLEASE THOROUGHLY COMPLETE EACH SECTION OF THIS QUESTIONNARE
*Required
Name *
Cell Phone Number *
Have you or any other person in your household traveled outside the State of Michigan in the last 14 days? *
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