Archives: Quizzes & Surveys

Client Screening Form

Welcome to our Client Screening Form.  If you answer YES to any question,  please TEXT Deb Barrett at 781-588-0503 to reschedule your Sound Therapeutics Session.  Thank you for your cooperation in these challenging times.

What is your first name and last initial?

Do you have fever or have you felt hot or feverish recently (14-21 days)?

Are you having shortness of breath or other difficulties breathing?

Do you have a cough?

Any other flu-like symptoms, such as gastrointestinal upset, headache or fatigue?

Have you experienced recent loss of taste or smell?

Are you in contact with any confirmed COVID-19 positive patients?

Have you traveled in the past 14 days to any regions affected by COVID-19? (as relevant to your location)

Do you live with anyone who has had repertory, cold or flu like symptoms within the last 10 days?

Have you been fully vaccinated within the last 14 days ago?

If you answered YES to any question,  please TEXT Deb Barrett at 781-588-0503 to reschedule your Sound Therapeutics Session.  Thank you for your cooperation in these challenging times.