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COVID-19 Screening

Please Read This Acknowledgement

ACKNOWLEDGEMENT: Transfitnation is using this Coronavirus COVID-19 Screening Questionnaire to screen all training clients and trainers before every training session. This form will be sent within 24 hours of any scheduled in-person training session or consultation. The goal of this form is to promote the health and safety of all clients and trainers participating in a live, in-person, training session. Please answer these questions truthfully and understand that you may have to reschedule your session depending on your answers. You will not lose any training sessions that are rescheduled due to the responses in this questionnaire.

By completing this questionnaire, you acknowledge and agree that: (i.) the information requested on this form is being provided voluntarily; (ii) the information provided on this form is confidential and is not intended for use outside of determining if an in-person training session can occur safely; (iii) the refusal or failure to answer each question below may result in the cancellation of any scheduled in-person training session, (iv) if the answers to questions 2-3 is “Yes,” then require you to get a covid-19 test before returning to in-person training – If you answered “Yes” to any of the symptoms and believe that they are due to something else (ex: allergies) please let your trainer know; (v) if the answer to question 4 is “Yes” and the answer to question 4A is “No” you will not be permitted to attend the in-person training session until you receive clearance from NYS or Suffolk County Health; and (vii) you must notify Transfitnation if you become symptomatic and / or test positive for COVID-19 within 48 hours of the last attended training session. Transfitnation will be presenting this Questionnaire uniformly and in the same manner for all in-person training sessions.

Masks are required for all indoor training. Please bring a mask with you when coming in to the studio.

Contact Information

Please your name and the date of your next scheduled in-person training session below:

Screening Questions:

Please answer the following 5 questions:

**Please wait after clicking SUBMIT to prevent multiple submissions. Thank you!