Health Screening Form

New York State COVID-19 safety guidelines require you to complete this form each and every time you go to the studio.  Please answer all questions to the best of you ability.  Submit your responses 30-60 minutes prior to your arrival at Living Yoga.
This screening form is not a diagnostic tool nor does it provide medical advice.  If you have questions about your own health, please consult your doctor or physician.
1) Coughing
2) Sore Throat
3) Shortness of Breath or Difficulty Breathing
4) Muscle Aches and Pains
5) New Loss of Taste or Smell
6) Nausea or Vomitting
7) Diarrhea
Close contact means being within 6 feet of an infected person for a cumulative total of 15 minutes or more.
If you recently returned from trip overseas, the CDC recommends that you quarantine for 10 days after your arrival. That quarantine may be shortened to 7 days if you receive a negative COVID-19 test result within 3 to 5 days of your return to the U.S.