CV-19 Safe Salon Service Provider Daily Form
This form is to be used as a daily record for salon service providers to ensure that during the COVID-19 Pandemic, there are no symptomatic signs of the virus.
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Email *
First Name *
Last Name *
Service Provider's Temperature: *
Do you have any of the following symptoms present today: Fever, Shortness of Breath, Runny Nose, Loss of sense of taste or smell, Dry Cough, Sore Throat, Chills, Shaking with Chills, Head Ache *
Signature (Write Below) *
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