Cuddle Session with Kassandra Health Screening Form - please complete within 12 hours of your session

Nourishing, compassionate physical touch is so important. Thank you for completing this health screening form that allows us to feel confident and relaxed sharing touch with one another.  This form must be completed within 12 hours prior to each session. If you show up for your session not having completed this form, I will ask you to complete it and it will take time we could otherwise use to nourish you.

Hygiene is very important. Please shower as soon as practically possible before our session and especially after interacting with other people (e.g. school, work, shopping). Soft comfortable clothes like pajamas or sweats are great. Please wear a minimum of a t-shirt and shorts to mid-thigh that have been freshly laundered and not worn for other activities before cuddling. You're welcome to change here.

When you arrive, we will each wash our hands thoroughly before we touch. It might seem odd not to begin with hug at the door but this way we are both assured that the other is clean and fresh.  

Before our first session, I also require you read and sign the Assumption of Risk and Waiver of Liability (only once, not every session :-) https://forms.gle/MCcfkojBn72iR6y86

If you need help  before the session, please text or call me at ‪(720) 340-2246‬ (my work/Google Voice number) or reach out to 660-234-4885 (my personal cell)

Let me know if you have any questions.

See you soon!
Kassandra


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Full Name
In the past 24 hours, have you experienced one of the following new symptoms: Fever of 100º or greater, new onset cough, shortness of breath/difficulty breathing, new loss of smell or taste? *
In the past 24 hours, have you experienced any of the following*: headache, muscle or body aches, sore throat, nausea, vomiting, diarrhea? *New symptoms unrelated to allergies or previous conditions. *
In the past 14 days, have you had close contact with someone with a confirmed diagnosis of COVID-19? *
Are you being tested for COVID-19? *
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