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Cosmo Baptist Church
Thank you in advance for completing this short questionnaire. The information will help the elders as they plan for the reopening of our church from 20 September 2020.
* Indicates required question
Name and Surname
*
Your answer
Will you be coming to church when we reopen?
*
Choose
Yes
No
Not sure at the moment
Will you come
*
Choose
alone
with a spouse
with spouse and children
with others
will not be coming for now
if coming, please indicate the number of people you are likely to come with
Your answer
Do you suffer from any of these conditions?
*
Diabetes
Hypertension (High blood pressure)
Heart condition
none
Other:
Required
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