Survey | Phoenix Fitness

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This survey is mandatory for students to be allowed in the studio and must be completed before the start of each class, private lesson, or workshop.

Covid-19 Health Declaration

How are you feeling today?

First Name

Last Name

Email

My body temperature is lower than 100 °F/ 37.8 °C

I have not experienced ANY of these symptoms in the last 24 hours: fever, dry cough, sore throat, chills, shortness of breath, loss of smell or taste

I have NOT been in close contact with anyone displaying any of the above symptoms or tested positive for COVID-19 in 14 days

Initials

Date

I declare that my presence in class will not pose a health risk to others and that the information I have provided above is complete and accurate.

Thanks for submitting, see you in class!

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