Client Screening Questionnaire for Covid-19
We require all clients to fill out the below questionnaire to assist in determining your fitness to receive a tattoo at Lucky 13 Tattoo. This is to provide a safe environment for clients, staff, families, and any other people we may be in regular contact with.

The information collected in this questionnaire will be kept strictly confidential and will be used only for determining your wellness to enter the studio, or contact tracing in the event of exposure to Covid-19.

You must follow hand hygiene protocols and also clean your phone, keys, and other personal items upon entering the studio.
Sign in to Google to save your progress. Learn more
Email *
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy