Pandemic Response Survey

The Pandemic Response Team is interested in your feedback regarding the potential return to in-person worship. Please review the proposed UUCSJS Indoor Meeting Guidelines and the UUCSJS Health Participation Pledge, and then complete the following short survey.

Please fill out this form and click submit.

Name

This address will receive a confirmation email

How comfortable would you be attending an outdoor worship service at UUCSJS this summer?

Please select one option.

Not at all comfortable Somewhat comfortable Very comfortable

How comfortable would you be attending small group gatherings inside at UUCSJS this summer?

Please select one option.

Not at all Somewhat comfortable Very comfortable

How comfortable would you be attending an indoor worship service at UUCSJS in the fall?

Please select one option.

Not at all comfortable Somewhat comfortable Very comfortable

How likely will you be to continue to attend services via Zoom or online format instead of returning to in-person attendance?

Please select one option.

Not at all likely Somewhat likely Very likely

Would you be willing to commit to complying with safety guidelines proposed by the UUCSJS Pandemic Response Team (including following appropriate social distancing and wearing a mask) when attending UUCSJS gatherings?

Please select one option.

Yes No

Would you be willing to complete the UUCSJS Health Safety Pledge prior to gathering with others for UUCSJS meetings and services?

Please select one option.

Yes No

Please share any thoughts or concerns you would like to have the Pandemic Response Team discuss:

Pandemic Response Survey

Description

Please Fix the Following