Holy Cross COVID-19 Care Survey
This form is for members of Holy Cross Lutheran Church. This is for everyone at Holy Cross. There are sections on what you might NEED in the days and weeks ahead, and also how you might HELP in the days and weeks ahead. God bless you and thank you for helping us!
Best Way to Contact You
Primary Phone Number
What Are Your Needs?
Pets that need help
A visit from the Pastor or Deaconess
Are You Receiving Holy Cross Emails?
Is Your House Warm Enough or Cool Enough?
Do you have any symptoms, such as fever, dry cough, difficulty breathing, fatigue?
Can you take your own temperature?
Are you in contact with your family?
Does your family live locally and help you?
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