Basic information (Covid-19)

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Please could each person in your group complete this form before the appointment time.

Please make sure the room is well ventilated an hour before the first appointment. Please also ensure that we have a separate space to work in with enough room for the massage table and space to work around it.

The following questions are advised for all close contact businesses (Section 1)

First Name *

Last Name *

Date *

YYYY

Contact number *

Time *

Time

Have you or any of your group developed symptoms of Covid-19 in the last 14 days? *

a new, persistent cough

a high temperature

a loss or change to your sense of smell or taste

None of the above

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