Revised Covid Survey February 2023

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What is your first and last name. *

Do you or a close contact of yours have any covid symptoms? (Close physical contact means any of the following while not wearing the appropriate personal protective equipment (PPE): being less than 2 metres away in the same room, workspace, or area, living in the same home) *

Yes

Have you or a close contact or yours had covid in the past 2 weeks? *

Yes

Will you be traveling out of Canada 2 weeks before your appointment? If so where to?

I will let Healing Holistics know if anything changes as soon as possible. *

Yes

If you are experiencing any symptoms of illness please let me know. Masks are still required in my office.

If you are looking to book an appt. please note you need to contact me.

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