Bethel Music Ministry Health Assessment
In an effort to lower the risk of COVID-19 transmission while meeting at Bethel UMC and ensure that we have accurate contact tracing should a problem arise, we ask that you complete this brief health assessment prior to attending functions within our facilities. Thank you so much for your cooperation.
Phone Number of participant (or parent if participant is under 18)
What rehearsal are you attending?
First Towne Ringers
1. In the past 24 hours have you experienced any of these symptoms?
-Fever or chills
-Shortness of breath
-Muscle or body aches
-New loss of taste or smell
-Congestion or runny nose
-Nausea or vomiting
2. In the past 14 days have you had close contact with a person who is known to have or is suspected of having COVID-19?
3. In the past 14 days, have you been tested for or diagnosed with COVID-19?
Yes, I was tested.
Yes, I was diagnosed with COVID-19.
Please verify below and click Submit.
If you answered YES to any of the questions above, you should not attend any Bethel UMC functions. Please contact your group leader to make them aware of your absence. Thank you in advance for your cooperation.