Call us today! 253-227-1862

Covid-19 Health Declaration

How are you feeling today?

First Name

Last Name

Email

My body temperature is lower than 98.6°F/ 37.5°C

I am not experiencing the symptoms: fever, cough, sore throat

I haven’t been in close contact with a Covid-19 patient in the last 14 days

Initials

Date

I declare that the info I’ve provided is accurate & complete

Thanks for submitting!

33507 9th Ave South #B2

Federal Way, WA 98003

253-227-1862

Sign up to receive weekly fitness, wellness and nutrition tips to help you achieve your goals!

Thanks for subscribing!

bottom of page