COVID-19 Pre-session Safety Checklist
Staying safe before receiving bodywork!
Email address *
Name (first and last) *
Your answer
Have you been diagnosed with COVID-19? Has anyone in your household or anyone you've been contact with been diagnosed with it? *
Have you had a fever, sore throat, “tickly” throat, nausea, cough, shortness of breath, headache, loss of smell, taste in the last 2 weeks? *
Are you high risk? That means that you are over age 60, immune-compromised, and/or have heart and lung diseases. If so we need to talk prior to your session. *
Have you been practicing all of the safety measures? Social distancing, wiping down groceries with sanitizers, wearing a mask in public, washing/sanitizing hands after being in contact with anything outside of your home, etc.? *
Have you traveled outside of the metro-Portland area in the last 2 weeks? *
Anything to add or ask?
Your answer
A copy of your responses will be emailed to the address you provided.
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