HEALTH HISTORY

Dear Guest,

The following questionnaire will help us provide you with the best possible service, tailored to your specific needs. Your answers are, of course, strictly confidential.

Please note that the questions relating to your background are purely informative in nature. The Royal Blue Resort and Pure Blue Spa do not employ medically qualified staff and should not be deemed or construed to be a medical facility. If any of your lifestyle circumstances change, it is important that you let us know immediately by completing a new questionnaire. This will enable us to adapt our services, if appropriate, in accordance with your needs and to continue providing you with the quality of service you deserve.

Please note that, despite the questions below, your health will not be evaluated and that you use the facilities at your own risk. Please read the Waiver and release at the end of the form carefully.

Hotel is required
Name is required
Email is required
Telephone is required
Date of Birth is required
Gender

Medical / History Data

Do you have any of the following conditions?
Arthritis
Diabetes
Bone problems
Heart issues
High/low Blood Pressure
Eczema
Pregnancy
Are you under the care of a doctor?
Please give details of any recent surgery
Are you taking any medication?
Do you have any allergies?
Do you have any of these symptoms? - cough, shortness of breath, high fever, muscle pain, body ache, nausea, loss of taste/smell
Within 14 days, have you been in contact with anyone that has COVID-19 symptoms or get infected?
Are you living with anyone that is get infected or quarantined due to COVID-19?

* If you are pregnant or think you may be, please inform your therapist so that we can avoid certain therapies such as body wraps or reflexology and tailor our services to your needs.

Waiver and Release from liability

I hereby release Troulis Royal Collection its subsidiaries, parent companies and affiliates and each of their respective officers, directors, agents, affiliates, employees, (collectively, the “Releases”) from any and all claims, damages, demands, rights or causes of action, present or future, known or unknown, anticipated or unanticipated, arising out of or in any manner resulting from my attendance at or use of the equipment or facilities at Pure Blue Spa & Pure Senses Spa including without limitation any claims, damages, demands, rights or causes of action resulting from or arising out of the negligence of the Releases. Furthermore, I hereby agree to waive any and all of such claims, damages, demands, and rights or causes of action. This Waiver and Release is to be binding upon my heirs, executors, administrators and representatives.

Furthermore, I hereby agree to release and discharge the Releases from any and all liability for any loss, theft or damage to personal property. I am fully knowledgeable of the proper use of the facilities and equipment, as well as my own physical limitations, and I agree to use such equipment at my own risk, without supervision. I understand that The Royal Blue will make no evaluation or recommendation and I will not construe any statement or action as an evaluation or recommendation with respect to whether I am sufficiently physically fit for any exercise activities. I am aware that it is always advisable to consult a doctor before undertaking a physical exercise programme. I acknowledge that I have read this Waiver and Release carefully and fully understand that it is a Waiver and Release of liability.

Please note that the information you provide will be held in our database with the intention of improving our service to our clients and sending information about future promotions. You may have access to the records held about you, correct them or remove them from our database at any time by contacting Troulis Royal Collection, 58 Km Heraklion Rethymnon, 74057, tel. +30 28340 55000, fax: +30 28340 55055, email: info@troulisroyalcollection.com

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