Client Health Questionnaire

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

confirm

I do not have a cough, fever, chills, shortness of breath or loss of taste or smell.

confirm

I have not shown symptoms of COVID-19 or come in close contact with anyone exhibiting these symptoms in the last two weeks.

confirm

If I begin to show symptoms of COVID-19 within the next two weeks I will contact my stylist.

confirm

I am not awaiting laboratory test results for COVID-19.

confirm

I understand that all guidelines put in place are for my safety and the safety of my stylist. I accept the risk of contracting the virus by being in a public space.