Please complete: COVID-19 Questionnaire Name & Surname * Phone * Have you returned from any of the high risk Covid-19 countries within the last 14 days? * Yes No Have you been in close contact with anyone who has travelled within the last 14 days to a high risk Covid-19 country? * Yes No Have you experienced any cold or flu-like symptons in the last 14 days (including fever, cough, sore throat, difficulty breathing)? * Yes No Have you lost your sense of Taste and Smell? * Yes No Do you feel unusually fatigued? * Yes No Do you have a fever of more than 38 degrees Celsius? * Yes No Are you currently awaiting results for a Covid-19 test? * Yes No Today’s Date * If you have answered “YES” to any of the above questions please do contact the Spa and reschedule your appointment. To protect all our Staff and Patrons during the Covid-19 Pandemic. We appreciate your Support this time. If you are human, leave this field blank. Submit
