At Perfect Posture Pilates, the safety of our clients and staff is of the utmost importance. Given the recent COVID-19 outbreak, we are requiring all clients to complete this pre-screening form prior to your first visit back to our studio. Please answer these questions truthfully and accurately so that we ensure a safe environment for all. All responses will remain confidential.
Thank you for your cooperation,
Perfect Posture Pilates LLC

Pre-Screening COVID-19 Questionnaire
1. Have you or a member of your household traveled outside the U.S. in the past 14 days? *
2. Have you or a member of your household traveled elsewhere outside of New York State in the past 14 days? *
3. Have you or a member of your household traveled on a cruise ship in the past 14 days? *
4. Do you or a member of your household currently have or had COVID-19 in the last 14 days? *
5. Have you or a member of your household received a positive COVID-19 diagnostic test in the past 14 days? *
6. Have you or a member of your household had any of the following symptoms in the last 14 days: sore throat, cough, chills, body aches for unknown reasons, shorts of breath for unknown reasons, loss of smell, loss of taste, fever, temperature at or greater than 100 degrees F? *
7. To the best of your knowledge, have you been in close proximity to any individual who tested positive for COVID-19 in the last 14 days? *
Consent