Welcome! A COVID-19 screening questionnaire is required every time you enter the studio. Click here.

COVID-19 Screening Questionnaire

COVID-19 Screening Questionnaire

This questionnaire must be completed be each student the on the day of a class or appointment, before entering the studio.
  • Choose any/all that are new, worsening, and not related to other known causes or conditions you already have.
    Temperature of 37.8 degrees Celsius/100 degrees Fahrenheit or higher
    Continuous, more than usual, making a whistling noise when breathing (not related to asthma, post-infectious reactive airways, COPD, or other known causes or conditions you already have)
    Out of breath, unable to breathe deeply (not related to asthma or other known causes or conditions you already have)
    Not related to seasonal allergies, acid reflux, or other known causes or conditions you already have
    Painful swallowing (not related to other known causes or conditions you already have)
    Not related to seasonal allergies, being outside in cold weather, or other known causes or conditions you already have
    Not related to seasonal allergies, neurological disorders, or other known causes or conditions you already have
    Conjunctivitis (not related to reoccurring styes or other known causes or conditions you already have)
    Unusual, long-lasting (not related to getting a COVID-19 vaccine in the last 48 hours, tension-type headaches, chronic migraines, or other known causes or conditions you already have)
    Not related to irritable bowel syndrome, menstrual cramps, or other known causes or conditions you already have
    Unusual, long-lasting (not related to getting a COVID-19 vaccine in the last 48 hours, a sudden injury, fibromyalgia, or other known causes or conditions you already have)
    Unusual, fatigue, lack of energy (not related to getting a COVID-19 vaccine in the last 48 hours, depression, insomnia, thyroid dysfunction, or other known causes or conditions you already have)
    For older people
    If you are fully vaccinated (it has been 14 or more days since your final dose of either a two-dose or a one-dose vaccine series), select “No.” If the person got a COVID-19 vaccine in the last 48 hours and is experiencing a mild headache, fatigue, muscle aches, and/or joint pain that only began after vaccination, select “No.”
    If exempt from federal quarantine requirements (for example, you are fully vaccinated and have met the specific conditions, or an essential worker who crosses the Canada-US border regularly for work), select “No.”
    If you are fully vaccinated (it has been 14 or more days since your final dose of either a two-dose or a one-dose vaccine series) and have not been told to self-isolate by public health, select “No.”
    This can be because of an outbreak or contact tracing.
    If you have since tested negative on a lab-based PCR test, select "No."
    If you are fully vaccinated (it has been 14 or more days since your final dose of either a two-dose or a one-dose vaccine series), select “No.” If you already went for a test and got a negative result, select “No.”