Name *

Are you still interested in teaching in-person classes at Myo?

Yes, now or soon.

Yes, as soon as I am fully vaccinated.

Yes, but not during the pandemic.

No, I don't anticipate returning to teach at Myo even after the pandemic.

OtherOther

Please check all of the scenarios in which you would feel comfortable teaching in person classes .

What is the maximum number of students you would be comfortable teaching inside at this time?

Please list the class types you would like to teach at this time, even if they are not the same as previously scheduled.

Do you have any ideas for class series (particular skills/progressions/goals) or workshops we should consider?

Which class formats do you think would work best for your class(es)?

What is your preferred class length?

What types of classes do you think would be successful on our schedule, whether or not you teach them? Select all that apply.

What times are you willing to teach on a weekday?

What times are you willing to teach on a weekend?

Please add notes here about class time or length requirements. Eg "I can teach early evening classes, but they need to start no later than 5:30 due to my childcare schedule."

Have you received a COVID-19 vaccine?

Yes, I have received both doses, or a single dose of J&J.

I have received one dose but not the second.

I haven't yet, but I plan to.

I do not plan to receive a vaccine.

I do not wish to share this information.

OtherOther

Which vaccine did you receive?

Pfizer

Moderna

Johnson & Johnson

OtherOther

What was the date of your final vaccine dose?

When do you anticipate being fully vaccinated?

Do you give your consent for us to share your vaccination status with clients who ask?

Yes

No

Other

Do you know of any other exceptional instructors we should contact?

Do you have any other ideas or feedback you’d like to offer?

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The Myo Institute

Pregnancy and Postpartum Massage CEU

Masking Policies

Stage 3 Policy changes

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