Reporting a Positive COVID-19 Case 新冠確診報告
Please use this form to report only when you or someone from your household has tested positive for COVID-19 and was present at church on Sunday. Fill out an additional form if more than one person from your household has tested positive. Information provided here will be kept private. Thank you!

若您或家人確診為新冠(COVID-19)陽性，並曾參加了教會主日崇拜，請填定此表格，將情況報備給教會。如不止一人感染，請填寫另外一份表格。 我們將對此報告的內容保密。                                                                                      
注：此表格只限於報備家人病情，請勿用於報告其他肢體的病情，謝謝理解與合作！
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Email *
Name of positive person in your household 確診人姓名 *
Please answer the remaining questions on behalf of this individual, whether yourself or a household member. 無論您是確診人本人還是其家人，請繼續完成以下所有問題。
Which Sunday were you last present at West Houston Chinese Church? 參加了哪天的主日崇拜？ *
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DD
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YYYY
What date did you take your COVID-19 test, which resulted positive? 哪天確認為陽性？ *
MM
/
DD
/
YYYY
What symptoms (if any) were you experiencing while you were at church on Sunday? 參加主日崇拜的當天有任何徵狀嗎？
If none, type "None" 如果沒有請寫"None"
Which worship service(s) did you attend on Sunday? 參加的哪堂崇拜？
Did you attend any classes, fellowships, meetings, or events on Sunday? 主日的時候，還參加過主日學、團契聚會或其他活動嗎？ *
If you participated in another ministry or event besides worship service, there will be a second page to let us know which classes, meetings, or groups you attended.
Is there anything else we should know? 其他需要報備的事項
How can we pray for or support you during this time? 需要幫助和禱告的事項
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