Preliminary Covid-19 Questions

Below you will find LIFESTYLE EXPOSURE QUESTIONS that we require all clients to respond to prior to scheduling an appointment with our office.

It is important to us to keep our clients safe during this time of the Covid-19 pandemic.  However, we also need to stay safe so we are not putting ourselves in the position of being overly exposed (which is for our benefit and our clients’ benefit), so please look over these questions and let me know your responses:

(1)  Do you regularly and WILLINGLY wear a mask and social distance when you are around others (who do not live in your household) in public? __ yes __ no

(2)  Do you have anyone living in your home who has a compromised immune system?  __ yes  __ no

(3)  What states have you traveled to in the last month? ____________________________

(4)  Are you a FIRST RESPONDER (ambulance worker, nurse or doctor caring for Covid-19 patients, police officer, etc.)? __ yes   __ no

(5)  Are you an essential worker who works around other workers who have tested positive for Covid-19 (Amazon, Nestle, Walmart, grocery stores, etc.)? __ yes   __ no

(6)  Are you over the age of 65? __ yes   __ no

(7)  Do you have a compromised immune system?

(8)  Do you work for or own an indoor bar or indoor restaurant?  __ yes  __ no

(9)  Have you experienced any symptoms of Covid-19 including cough, shortness of breath, difficulty breathing, chills, fever, or loss of taste or smell?

(10)  Have you been to an indoor bar,, indoor restaurant, or indoor party (with more than 10 people)  where you and others were not wearing a mask or social distancing in the last month? ___ yes ___ no

(11)  Have you exercised in an indoor gym in the last month where you and others are not wearing a mask or social distancing? ___ yes ___ no

Your responses will not necessarily result in being denied service.  We have the option to use a higher level of protective equipment or a different mask so your responses simply help us to adjust.

**The easiest way to respond to these is to text Donna at 216-339-3401 and simply list the number and your response.  Only takes a few minutes.  Your cooperation is very much appreciated.



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Donna Agrinsonis

Donna Agrinsonis is a massage therapist licensed through the Medical Board of Ohio. She serves clients through her massage practice – Heavenly Healing Hands Massage Therapy – located in the heart of Beachwood, Ohio. She and her staff specialize in couple’s massage, deep tissue, relaxation massage, and sports massage. Donna is also certified in prenatal massage. Donna has a background working in high-end spas, chiropractic clinics and she used to head up the massage services at a prominent country club in Beachwood. All sessions offered through her practice are super therapeutic and contain some form of hot stone therapy and real bodywork designed to have clients moving better, experiencing less pain, and feeling like a brand new person…

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