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385 Frederick Street Mall
Kitchener, ON,
N2H 2P2
519.576.2250

COVID-19 Registered Massage Screening

Registered Massage Therapy COVID-19 Screening

This screening process must be completed 24 hrs before your scheduled appointment.
Failure to confirm, could result in your appointment being cancelled, with a possible fee. 

If you can answer no to all the questions below, email us with CONFIRM to 
info@totalskinandbody.ca
or call reception to confirm you have read and answered negative to all questions.

If you answer YES to ANY questions, you must call to CANCEL your appointment with reception or your Therapist. 519-576-2250


1. Are you currently awaiting test results for COVID-19?

2. Did you travel outside of Canada in the past 14 days? 
3. Have you tested positive for COVID-19 ?
4. Have you had close contact with a confirmed case of COVID-19 without wearing appropriate PPE? 
5. Do you have ANY of the following symptoms?
* Fever
* New onset of cough
* Worsening chronic cough
* Shortness of breath
* Sore throat
* Difficulty swallowing
* Decrease of loss of sense of taste or smell
* Chills
* Headache
* Unexplained fatigue/ malaise / muscle aches (myalgais)
* Nausea / vomiting, diarrhea, abdominal pain
* Pink eye (conjunctivitis)
* Runny nose or nasal congestion without other known cause
6. If you are over 70 yrs of age, are you experiencing any of the following symptoms?
* Delirium
* Unexplained or increased number of falls
* Acute functional decline
* Worsening of chronic conditions