Planning for Covid-19
We are planning for our services when we move into the COVID-19 protection framework (traffic light system).  This survey is designed to collect your views and help inform our decisions as we make plans for the future.

We want to ensure that we protect those who are vulnerable and include all of our congregation members.  

Your responses to this survey will remain confidential to Karori Anglican Management Team.  Please complete the form by end of Monday 15 November

Sign in to Google to save your progress. Learn more
Name
1)   What services do you attend? *
Required
2)   Are you willing to let us know if you are vaccinated      against COVID – 19? *
Required
3)   Please check which applies to you
4)  Do you consider yourself medically vulnerable to COVID – 19?  
Please provide details if comfortable
5)   In the traffic light system (the new Covid-19 protection framework) would you be willing to attend a service where a vaccine passport is required? *
Required
6)   In the traffic light system (the new Covid-19 protection framework) would you be willing to attend a service where a vaccine passport is NOT required? *
Required
7)   In the traffic light situation (the new Covid-19 protection framework) would you be willing to attend a service where children under the age of 12 (therefore not vaccinated) are present? *
Required
8)   If you could not attend in person, would you be satisfied with a provision of a recorded or streamed service? *
Required
9)   Do you have any other concerns not covered by this questionnaire?  Please write below what these are.
Only answer these last two questions if you are a House Church Leader
10)   As a house church leader, do you have any concerns meeting in person as a house church at any level of the traffic light system?  
11)   Please let us know what these concerns are if you are comfortable doing so.
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms