Health Screening Questionnaire


Please answer truthfully and to the best of your ability. Clients who answer YES to the following questions will not be allowed into the studio per the health and safety guidelines as laid out by Governor Cuomo and the CDC.


Reminder these are some of the symptoms associated with COVID 19. :

  • Fever of 100.4° F or 38.0° C higher or chills

  • Cough 


  • Shortness of breath or difficulty breathing


  • Fatigue, Headache, Muscle or body aches

  • New loss of taste or smell

  • Sore throat


  • Congestion or runny nose

  • Nausea or vomiting

  • Diarrhea