Self Screening Questionnaire for Re-opening

We ask that everyone attending church take a few minutes to self-screen before coming to worship in person. If you answer “YES” to any of the questions, please plan to stay home and enjoy worship online.

  1. Do you have a NEW uncontrolled cough?

  2. Do you have a sore throat?

  3. Do you have a new onset of severe headache, especially with fever?

  4. Are you experiencing diarrhea, vomiting, or abdominal pain?

  5. Do you have difficulty breathing or shortness of breath?

  6. Do you have a change in or a new loss in sense of taste or smell?

  7. Have you had close contact (within 6 feet for at least 10 minutes) with a person with a confirmed case of COVID-19 or with a person who is awaiting results of a COVID-

    19 test due to symptoms?

  8. Have you, or anyone you have been in close contact with, been diagnosed with COVID-19 or placed in quarantine for possible exposure to COVID-19 within the last two

    weeks?

  9. Have you been asked to self-isolate or quarantine by a medical professional or a local public health official in the last two weeks?

  10. Have you traveled to a state listed on the New Jersey Travel Advisory in the past 14 days?