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COVID-19 Health Screening Questionnaire
Please complete this questionnaire before EACH time you come to the Studio, or attend an Outdoor Yoga Class.
When finished click SUBMIT at the bottom of the page.
It is now required that all clients attending an in-person class be screened before or on arrival. Do you have any of the following new or worsening symptoms or signs? Symptoms should not be chronic or related to other known causes or conditions.
*
Indicates required field
Name
*
First
Last
Email
*
Are you experiencing a fever or chills?
*
Yes
No
Are you experiencing a new or worsening cough or difficulty breathing?
*
Yes
No
Are you experiencing a sore throat or trouble swallowing?
*
Yes
No
Are you experiencing decreased or loss of smell or taste?
*
Yes
No
Are you experiencing nausea, vomiting, diarrhea, or abdominal pain?
*
Yes
No
Are you not feeling well, experiencing extreme tiredness, or sore muscles?
*
Yes
No
Have you had close contact with a confirmed or probable case of COVID-19?
*
Yes
No
Are you awaiting test results for COVID-19?
*
Yes
No
Have you travelled outside of Canada in the past 14 days?
*
Yes
No
Have you been in contact with anyone who is ill and has travelled outside of Canada in the past 14 days?
*
Yes
No
If you have experienced or are experiencing any of these symptoms within two weeks of your booking, please play it safe and do not come to class.
Please sanitize your hands upon arrival, and wear your mask in the Studio at all times, with the exception of when you are in your practice square. We appreciate your help with keeping our community safer so we may remain open and here for you.
Submit
Classes
Training
200 Hour Hatha Yoga Teacher Training
50 Hour Yin Yoga Teacher Training
>
Yin YTT Resources
Yoga Teacher Training Resources
>
YTT 2020
YTT 2021
YTT 2022
YTT 2023
Yoga Teacher Training Application
Login
Events
Retreats
>
Upcoming Retreats
Past Retreats
Services
Virtual Studio
Free Video Classes
VIP Content
About
Laurin Wolf
News & Updates
>
COVID-19 Health Screening Questionnaire
Photo Gallery
Videos Gallery
Contact Us