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    Havlicek Dieta

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    xxx.julietta
    This document contains a health questionnaire for clients of a salon during the COVID-19 pandemic. It asks if the client or anyone they have been in close contact with has experienced COVID-19 symptoms, a positive test, or traveled internationally. It also contains a consent form where the client agrees to follow safety guidelines to help prevent virus spread, understands the risks of virus transmission during beauty services, and consents to a temperature check.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Havlicek Dieta

    Uploaded by

    xxx.julietta
    18 views1 page
    This document contains a health questionnaire for clients of a salon during the COVID-19 pandemic. It asks if the client or anyone they have been in close contact with has experienced COVID-19 symptoms, a positive test, or traveled internationally. It also contains a consent form where the client agrees to follow safety guidelines to help prevent virus spread, understands the risks of virus transmission during beauty services, and consents to a temperature check.

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    Dieta

    Original Title

    Havlicek dieta

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    This document contains a health questionnaire for clients of a salon during the COVID-19 pandemic. It asks if the client or anyone they have been in close contact with has experienced COVID-19 symptoms, a positive test, or traveled internationally. It also contains a consent form where the client agrees to follow safety guidelines to help prevent virus spread, understands the risks of virus transmission during beauty services, and consents to a temperature check.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    18 views1 page

    Havlicek Dieta

    Uploaded by

    xxx.julietta
    This document contains a health questionnaire for clients of a salon during the COVID-19 pandemic. It asks if the client or anyone they have been in close contact with has experienced COVID-19 symptoms, a positive test, or traveled internationally. It also contains a consent form where the client agrees to follow safety guidelines to help prevent virus spread, understands the risks of virus transmission during beauty services, and consents to a temperature check.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
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    Please answer the following questions honestly and to the best of your knowledge.

    You understand that I am committed to keeping you, me, and all of our families safe from the
    spread of this virus. If you show up for an appointment and I believe that you have a fever or
    other symptoms, or believe you have been exposed, I will have to require you to leave the
    premises immediately. We can follow up with services by telephone as appropriate.

    Have you or anyone you have had close contact within the last 14 days, YES
    is awaiting testing for diagnosis or has been diagnosed with COVID-19?
    NO

    Are you or have you in the last 14 days shown symptoms of fever, YES
    cough or shortness of breath?
    NO

    Have you been or have had close contact with someone in the last 14 YES
    days which has been on an aeroplane from outside of the UK?
    NO

    • I knowingly and willingly consent to have beauty treatment during the COVID-19
    pandemic.
    • To prevent the spread of contagious viruses and to help protect each other, I understand
    that I will have to follow the salon's strict guidelines.
    • I understand that due to the frequency of visits of other clients, the characteristics of the
    COVID-19, and the characteristics of hair services, that I have elevated the risk of
    contracting the virus by merely being in the salon.
    • I understand that due to the nature of beauty treatment, I am unable to maintain the
    recommended social distancing.
    • I'm willing to take a temperature check during my visit to the salon before the services are
    started, and I agree not to come to the salon with the following symptoms of COVID-19
    listed below: Fever- Temperature Shortness of breath Loss of sense of taste or smell Dry
    cough Runny nose Sore throat.

    I understand, read, and completed this questionnaire truthfully. Services will


    not be offered to or given by anyone who is sick or exhibiting signs of illness. I AGREE

    SIGN: DATE:

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