COVID-19 SYMPTOM CHECK QUESTIONNAIRE Your Full Name (required) Your address (required) Your email address (required) Your telephone number (required) Have you experienced a new cough, high temperature, shortness of breath, loss of smell and taste , or a sore throat, none of which relate to another health condition you might be suffering within the last 14 days? Select option YES if one or more symptoms apply. YESNO If you answered yes for ANY of the above please follow safe isolation guidelines. Only book an appointment if you have answered NO (for all symptoms listed). Selecting NO states you have none of the above symptoms. Have you been in close contact with someone who suffers with covid-19 within the last 14 days? YESNO Do you agree with having your temperature taken before your massage? YESNO