COVID Survey — First Presbyterian Church

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Sundays Events About Ministries + Missions Kids Adults Care Music Resources + Giving at FPCSTPETE Give FPC Members First News Church Calendar Sermons SermonSeries How to Join the Church Weddings Contact Social Media Disclaimer

FPC Members

St Pete Primary

Your initials *

(1) Have you been vaccinated?

Yes

No

(1A) If you are vaccinated, how many shots have you had?

1

2

Booster

(1B) If you are vaccinated, what brand did you receive?

Pfizer

Moderna

Johnson & Johnson

(2) Have you contracted the virus?

Yes

No

(2A) If you contracted the virus, how serious would you describe your symptoms?

Mild

Moderate

Severe

(2B) If you contracted the virus, were you hospitalized?

Yes

No

(2C) If you were hospitalized, how many days did you stay there?

(2D) If you were hospitalized, were you in intensive care, or on a ventilator?

(3) Do you have any close friends or family members who have contracted the virus? *

Yes

No

(3A) If so, how many?

(4) Are you worried about contracting the virus?

Yes, very

Yes, mildly

Not very

No

(5) Do you know anyone locally who has died from the virus?

Yes

No

(5A) If so, how many?

(6) First Presbyterian Church is now open for in-person worship with masks and social distancing required. Will you be attending?

Yes

Maybe

No

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First Presbyterian Church

701 Beach Drive NE
St. Petersburg, Florida 33701-2618
Phone: (727) 822-2031
E-mail: office@fpc-stpete.org

New Church Office Hours:
Mon-Thurs 9 AM - 5 PM, closed Fridays

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First Presbyterian is a Stephen Ministry church.