Covid-19 Healthcheck

As part of our new Health & Safety protocols we are including a questionnaire to be completed by all clients 24 hours BEFORE you come into the Salon for your treatment. This is to ensure we protect both our clients and staff as far as we possibly can.

Date of Treatment (YYYY-MM-DD)(required)

Phone Number (required)

As per Government Guidelines the most important symptoms of coronavirus (COVID-19) are recent onset of any of the following:
• a new continuous cough
• a high temperature
• difficulty breath
• a loss of, or change in, your normal sense of taste or smell (anosmia)
Have you or has anyone you live with:

Experienced any of the above symptoms (in the last 14 days)?
NoYesNot Sure

Awaiting a result on a test on COVID-19?
NoYes

Tested positive for COVID-19 (in the last 14 days)?
NoYes

I Agree to obey the rules of the salon during my appointment in order to minimize the spread of viruses. (required)

If the answer to any of the above is yes or you are not sure you MUST cancel you appointment immediately and seek medical advice. You will NOT be charged a cancellation fee and we will reschedule your appointment for a later date once the period of Self Isolation is over (as per government guidelines).

Client Signature (use your mouse/trackpad/mobile touch screen to input signature)

**These details collected will be held confidentially and in compliance with GDPR along with your normal consultation forms and in line with insurance requirements.