COVID Health Questionnaire
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Untitled Title
Name *
Have you been confirmed positive for COVID-19, or has anyone within your household? *
If yes, how long ago?
Do you have any symptoms of COVID-19? For example, a fever, cough, or shortness of breath? *
Have you knowingly been in contact with any person in the last 14 days who has COVID-19? *
Have you been in contact with anyone who has travelled recently? If yes, please wait until they receive their test results before attending your appointment . *
Have you, yourself travelled off island recently ? *
If yes, has it been 7 days since your second negative test result ?
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Thank you!
If at any time you have been confirmed as positive for COVID-19 please inform us via phone or email, especially if you have attended the salon in the last fourteen days.

Thank you for your time and patience.
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