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Screening Questions
Posh Hair Design
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* Indicates required question
Email
*
Your email
Please Enter Your First and Last Name
*
Your answer
Date Of Appointment
*
MM
/
DD
/
YYYY
Best Phone Number To Reach You?
*
Your answer
Who Is Your Stylist?
*
Choose
Jill
Michelle
Gabrielle
Jennifer
Have you experienced any cold or flu-like symptoms in the last 14 days (to include fever, cough, sore throat, respiratory illness, difficulty breathing)?
*
Yes
No
Required
Within the last 14 days have you had close contact with or cared for someone who either exhibited flu like symptoms or was diagnosed with COVID-19?
*
Yes
No
Required
Are you living with anyone who is sick or quarantined?
*
Yes
No
Required
Are you living with anyone who is sick or quarantined?
*
Yes
No
Required
If you have answered yes to any of the above questions Posh Hair Design asks that you contact your stylist and reschedule your appointment. The safety of our stylists, clients, and all of our families and loved ones remain our overriding priority.
I understand that COVID-19 has a long incubation period and carriers of the virus may not be exhibiting any symptoms. I understand that Stylists at Posh Hair Design will do everything in their power to keep a clean and safe environment, but my risk of contracting illness is at a greater increase due to the closeness required for my service; Further more I agree to follow all salon guidelines as laid out in my appointment confirmation email/text. (Enter name below as e-signature).
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Your answer
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