Check In

Client Health Questionnaire

Prior to the start of my services, i confirm that:

I have not been diagnosed with or cared for someone diagnosed with COVID-19 in the past two weeks

I have not shown Symptoms of COVID-19 or come in close contact with anyone exhibiting these symptoms

I do not have a cough, Fever, Chills, Shortness of breath, or loss of taste or smell

If i Begin to show symptoms of COVID within the next two weeks, i will contact my stylist.

I will follow all posted salon rules to keep myself, my stylist and those around me safe

I hearby validate this as my authorization for service

Yes

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