Screening Questionnaire is only available on the following days of the week: Thursday through Saturday.
Screening Questionnaire Form
For the health and safety of our disciples, families and guests, we request that upon check-in that everyone complete the following health screening questionnaire. If you are unable to submit your health screening questionnaire prior to attendance, you may print, sign and date this document and bring with you to the Worship Service or complete the health screening questionnaire upon check-in at the church.
Have you been vaccinated?
1. In the last 14 days, have you or anyone in your household traveled outside the United States or to any area of the United States where COVID-19 cases are very high?
2. In the last 14 days, have you been exposed to anyone with COVID-19?
3. In the last 14 days, have you been advised by a healthcare professional to seek COVID-19 testing?
4. In the last 14 days, has a medical professional advised you to self-quarantine?
5. Are you currently experiencing, or have you recently experienced any of the following symptoms: fever of 100.4 or greater, cough, sore throat, shortness of breath or difficulty breathing, chills, repeated shaking with chills, muscle aches, headache (not attributed to a chronic condition such as a migraine), new loss of taste or change in taste or smell, or any other symptoms of illness?
6. Within the last 14 days, have you had close contact with anyone who is currently sick with suspected or confirmed COVID-19?
If you answered YES to either of these questions or any part of the questions, please make plans to be onsite at Pleasant Grove Church at another time. PGC will continue streaming services online at https://pgc-cary.org, Facebook, and through Boxcast. If you answered NO to all these questions, we look forward to worshipping with you at Pleasant Grove Church.DISCLAIMER
COVID-19 is highly contagious and is known to spread mainly from person-to-person contact. By attending group meetings at Pleasant Grove Church, you agree to abide by the procedures established by the church to protect attendees and staff, including wearing a mask and social distancing. You agree that you voluntarily assume the risk that you and/or your family may be exposed to or infected by COVID-19 at the church and you waive any liability against the church and any other parties. You also acknowledge that for all future events/meetings that you attend, you will self-check the above questions & recommendations and follow the guidelines.
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