Bonnie's Yoga Shala COVID-19 Screening
Good Day Sweet Soul! In order to keep up our yogic practice we must keep our loved ones and peer yoga student safe.
Please fill out this form to screen for COVID-19 interactions and symptoms EACH AND EVERY TIME you come to class. Allow time to complete the form in the hour or so prior to class.
Although we are all under a good light and participate in a safe practice, we can never be safer during these times. Your continued cooperation is greatly appreciated, Namaste.
What is your name?
Have you or anyone in your household had any of the following symptoms IN THE PAST 14 DAYS: sore throat, cough, chills, body aches for unknown reasons, shortness of breath for unknown reasons, loss of smell, loss of taste, fever at or greater than 100 degrees Fahrenheit? *
Do you have any reason to believe you or anyone in your household has been exposed to or acquired COVID-19 IN THE PAST 14 DAYS? *
To the best of your knowledge have you been in close proximity to any individual who tested positive for COVID-19 IN THE PAST 14 DAYS? *
Have you or anyone in your household traveled in the U.S. or internationally IN THE PAST 14 DAYS? *
REMINDER: Please fill out this form to screen for COVID-19 interactions and symptoms before EACH AND EVERY TIME you come to class.
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