Bodywork / Therapy Room Interest Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Email *

First Name *

Last Name *

What type of sessions will you be holding in the room? (select all that apply) *

Massage

Acupuncture

Reiki and/or Energy Healing

Other:

Required

COVID-19 Safety Guidelines

-Your customer is to wait outside until you invite them in, they are not to enter the lobby.
-Both practitioner and customer must wear a mask AT ALL TIMES
-Practitioner and customer must remain 6 feet apart when face-to-face unless a face shield is used (not provided).
-The following must be sanitized after each session (disinfecting wipes provided):
Desk, chair, doorknobs (inside and outside knobs of lobby, restroom, office, entryway, sheet closet) and lockbox

For bodywork:
-A clean set of sheets must be used for each new person (clean sheets provided)
-You must either wear gloves (not provided) or sanitize your hands every 5 mins (sanitizer provided)
-Stick to sideline or prone positions when possible. If you will be working with your customer's head/neck/face while in supine, you must wear a face shield (not provided)

Do you agree to abide by the above listed COVID-19 Safety Guidelines? *

Yes

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms