Screening Questionnaire – COVID-19 (Coronavirus)
Please review these screening questions. If you answer “yes” to any of these, please reply with “CANCELING” via text message to reschedule your appointment. If all your answers are all “NO” please reply “CONFIRMED” via text message.
This questionnaire MUST be answered prior to your appointment. If you have not done so, you will not be allowed to enter the salon.
1. Do you currently have any of the following symptoms
· Cough
· Shortness of breath or difficulty breathing
Or at least two of these symptoms:
· Fever
· Chills
· Repeated shaking with chills
· Muscle pain
· Headache
· Sore throat
· New loss of taste or smell
2. Have you traveled outside the state within the past 10 days?
3. Have you been exposed to someone who has tested positive or diagnosed with COVID-19 with the last 14 days?