Full name: Mobile: Email: Address: Arrival time: Which shop are you visiting today: Healthlink Massage Harbour TownHealthlink Massage Metro Market Biggera WatersHealthlink Massage Southport Park Declare: Do you declare that you or any person visiting with you: do NOT have COVID-19 or flu like symptoms, have NOT been in contact with any confirmed COVID-19 cases in the past 56 days, and have NOT visited or been back from overseas in the past 56 days YesNo