SALON PRE-APPOINTMENT HEALTH CHECK

Thank you for taking the time to fill out this pre-appointment health check before your appointment. Due to the recent outbreak of COVID-19 [INSERT BUSINESS NAME] is taking extra precautions to ensure the care of every client.

Please note, if you are unable to fill out this form online, we'll need you to come to the salon 10 minutes before your appointment time to fill it out in the salon before we can proceed with treatment.

If you have answered yes to any of the above questions, please understand we will not be able to proceed with treatment at this time.

There is no need to continue completing this form please give us a ring to let us know you will not be able to attend your appointment.

As well as our rigorous disinfection and sanitisation procedures in the salon we ask you, our clients to adhere to the following procedures to prevent the spread of COVID-19:

• Contactless and card payments where possible
• Come alone to your appointment
• Keep personal belongings to a minimum
• Sanitise your hands upon entering the salon and before leaving
• Wear the mask provided

COVID-19 has been declared a worldwide pandemic by the World Health Organization. COVID-19 is extremely contagious and is believed to spread mainly from person-to-person contact. As a result, [INSERT BUSINESS NAME] has put in place many preventative measures to reduce the spread of COVID-19.

By signing this agreement, I acknowledge the contagious nature of COVID-19 and by attending an appointment at [INSERT BUSINESS NAME] I do so at my own risk.

• I do not currently have any symptoms of COVID-19
• I have not knowingly been in contact with confirmed case of COVID-19 in 14 days
• I have read and answered the questions above truthfully
• I have read, agree to and have signed this waiver