1. When the state government allows for public gatherings, which best describes your attitude toward returning to a worship service at the church building? Please select the one answer that best describes your current feelings:

I am ready to return to worship services without any restrictions

I am ready to return to worship services with some concerns and precautions

I will return at the first opportunity we have.

I will wait several additional weeks before I attend.

It may be quite a while before I return

Not sure.

Other (please specify below)

2. Are there other signals you would like to see before you return to attend a worship service at the building? Please select all that apply:

All local businesses are open again

Local restaurant seating areas are open again

Schools are open again

The number of coronavirus cases near me is very small

Most social distancing recommendations have been lifted

I am ready to return immediately

Not sure

Other (please specify below)

3. What precautions, if any, do you plan to take when you return to a worship service at the building? Please select all that apply:

I will wear a face mask.

I will stand and sit in places where I will be at least 6 feet from others (not including my own family).

I will avoid shaking hands.

I will avoid any physical contact.

I will bring hand sanitizer.

I will wear gloves.

I feel no need for any precautions

Other (please specify below)

4. If you volunteer in a ministry on Sunday mornings what describes your current feelings about returning to your role:

I am ready to return to my role & I feel no need for any precautions

I am ready to return to my role with some concerns and precautions.

I will wait several additional week before I return to my former work.

It may be quite a while before I return to my former work.

Not sure.

I am not currently involved in any volunteer work at the building

5. What are your current feelings about sending your children to class during the worship service?

I will send my children to class at the first opportunity we have.

I will wait several additional weeks before I send my child/children to class.

It may be quite a while before I send my child/children to class.

Not sure.

N/A

6. Do you consider yourself to be part of any of the following vulnerable groups?

Vulnerable due to my age

Vulnerable due to my health

I do not consider myself to be a part of any of the vulnerable groups

Other (please specify below)

Name (Please skip this if you'd rather give your feedback anonymously )

First Name

Last Name