Please complete the below COVID-19 customer form on the day, or a day ahead of your appointment Name * First Name Last Name Email * Phone * (###) ### #### Date of Appointment * MM DD YYYY I have not been diagnosed with or cared for someone diagnosed with Covid-19 in the past 2 weeks * Yes No I have not shown any symptoms of Covid-19 or come into contact with anyone with symptoms * Yes No I have not travelled outside of my immediate daily routine in the past 2 weeks * Yes No If I do show symptoms in the next 2 weeks I will contact my stylist or beautician * Yes No I have reviewed and will follow all salon-rules to help keep myself and others safe * Yes No By submitting this form I confirm that all of the above is current and correct Thank you! Thank you