Freed Bodyworks 

Covid-19 Health Declaration & Release Form 

Have you received the COVID-19 vaccine? (this does not impact your ability to have an appointment)
Are you experiencing any of the following symptoms: fever over 100, cough, sore throat, shortness of breath, new loss of sense of taste or smell.
Pick one of the following regarding your travel in the past 14 days:
Have you been in close contact with anyone diagnosed with or experiencing symptoms of COVID-19

Thanks for submitting!