COVID-19 Health Check Form - Part 1
Please complete the following questionnaire each day before arriving at our facility.
* Please note that Kozmic Sound still requires a 10 day isolation period with no lingering symptoms for anyone who has tested positive or has had a close contact exposure before attending a session in person, not 5 days as per BC Public Health.
Full Name *
Email Address *
Date of form submission *
Are you fully vaccinated against COVID-19?
Clear selection
Clear form
Never submit passwords through Google Forms.
This form was created inside of Kozmic Sound. Report Abuse