IC Medan Survey 2021

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Email *

Name *

How are you and your family currently handling the Covid-19 season? *

Very well

Somewhat well

Unwell

Not well at all

How can we pray for you?

How long have you been attending IC Medan's service (in-person/online)? *

<1 year

Between 1-3 years

Between 3-5 years

More than 5 years

What is your age range? *

19 years old and below

20-39 years old

40-59 years old

60 years old and above

If IC Medan re-opens with strict health protocol in place, how likely are you to attend service in-person? *

Very likely

Somewhat likely

Unlikely

Not likely

If IC Medan re-opens, how likely will you continue to watch online services (Youtube)? *

Very likely

Somewhat likely

Unlikely

Not likely

For IC Kids, if you have children, how likely are you to bring your kids to the IC Kids services? (optional)

Very likely

Somewhat likely

Unlikely

Not likely

Clear selection

For Life Groups, how likely are you to attend an in-person gathering in home or public space with a small group of people? *

Very likely

Somewhat likely

Unlikely

Not likely

What precautions, if any, do you plan to take when we have in-person service? Select all that apply: *

I will wear a face mask (3-ply medical/cloth)

I will stand and sit in places where I will be at least 1 meter from others

I will avoid any physical contact (shaking hand, hugging, etc)

I will avoid crowded hallways and lobby

I will bring hand sanitizer

I will stay at home if I feel sick or have recently in contact with people who are sick

Other:

Required

What precautions, if any, do you expect the church to take when we have in-person service? Select all that apply: *

limit attendance per service

limit physical handouts {worship guide)

remove drinks (tea/coffee/water)

reduce contact in collection of tithe/offering and communion distribution

arrange seating plan with social distancing guideline

discourage of shaking hands

provide hand sanitizer stations

provide face masks

disinfect auditorium regularly

no special expectation

Other:

Required

Do you have any other questions or concerns? Things that would need to be implemented for you to feel safe returning to in-person service? (optional)

Submit

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