top of page
GHANA UNITED METHODIST CHURCH
CHRIST NTI YɛYɛ ADEHYIE
HOME
ABOUT US
Brief History
The Resident Minister
GET INVOLVED
The Men's Fellowship
The Women's Fellowship
The Choir
Teen Bible Ministry
Transportation Committee
CONNECTIONAL MINISTRIES
The New York Annual Conference
The Ghana Methodist Church
MEDIA
Picture Gallery
Video Gallery
New Member Form
Existing Member Update Form
Vaccine Survey Form
Other Forms
CONTACT
Locate Us
Leadership
EVENTS
Calendar
Charge Conference
Notices
More
Use tab to navigate through the menu items.
GUMC-BRONX VACCINE SURVEY FORM
GUMC COVID-19 VACCINE SURVEY FORM
Please answer this brief anonymous survey on behalf of the GUMC Health Ministry
Please complete only 1 survey per member
Have you received the COVID Vaccine
Yes, I am fully vaccinated
I am partially vaccinated (received only 1 dose)
No, I have not been vaccinated
If you have not been vaccinated, what is/are the reason
I do not trust the vaccine
I do not have enough information
I do not know where to get the vaccine
I do not want the vaccine
I do not have insurance
Other
Comment:
Submit Form
Thanks for submitting!
bottom of page