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* 1. How are you and your family doing at present?

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* 2. During the pandemic, did you lose a loved one?

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* 3. During the pandemic, did you, or someone in your family lose a job or income?

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* 4. During the pandemic, did your family have to postpone a sacrament (Baptism, Communion, Reconciliation, Confirmation, Marriage) or rite (RCIA, funeral)?

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* 5. What concerns do you have about coming back to Mass?

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* 6. Is there anything you'd like to share with us?

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* 7. Optional: Name and Phone Number

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