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Health Questionnaire

PRIOR TO THE START OF MY SERVICE, I CONFIRM THAT:

    Do you have any cold or flu-like symptoms? (fever, cough, sore throat, shortness of breath)?
    YESNO
    Have you been diagnosed with or cared for someone diagnosed with COVID-19 in the past two weeks
    YESNO
    Have you shown symptoms of Covid-19 or come in close contact with anyone exhibiting the symptoms in the past 2 weeks.
    YESNO
    Have you traveled outside your immediate daily routine for the past 2 weeks.
    YESNO
    If I begin to show symptoms of Covid-19 within the next two weeks, I will contact my stylist.
    YESNO
    I will follow all posted salon rules to keep myself, my stylist and those around me safe.
    YESNO