Client Health Questionnaire
I have not been diagnosed with or cared for someone with COVID-19 in the past two weeks.
I do not have a cough, fever, chills, shortness of breath or loss of taste or smell.
I have not shown symptoms of COVID-19 or come in close contact with anyone exhibiting these symptoms in the last two weeks.
If I begin to show symptoms of COVID-19 within the next two weeks I will contact my stylist.
I am not awaiting laboratory test results for COVID-19.

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.

Thank you!