Real Voice LA - Wellness Checklist

Please fill out the following health declaration form in order to participate in our activity. Submissions are valid up to 24 hours prior to the activity.
Do you have a cough
Do you have a fever now or have you in the past 14-21 days?
Are you experiencing shortness of breath or difficulty breathing?
Are you experiencing other flu-like symptoms, such as gastrointestinal upset, headache, or fatigue?
Have you experienced recent loss of taste or smell?
Do you have heart disease, lung disease, kidney disease, diabetes or any auto-immune disorders?


3151 Cahuenga Blvd W • Suite 105 • Los Angeles, CA 90068

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3151 Cahuenga Blvd W

Suite 105

Los Angeles, CA 90068