COVID-19 Health Check

As part of our new Health & Safety protocols we are including a questionnaire to be completed by all clients 24 hours BEFORE you come into the Salon for your treatment. This is to ensure we protect both our clients and staff as far as we possibly can.

It is imperative that you answer the questionnaire accurately.

Full Name *

Booking Date

Mobile Number *

Email Address *

As per Government Guidelines the most important symptoms of coronavirus (COVID-19) are recent onset of any of the following:

a new continuous cough
a high temperature
difficulty breath
a loss of, or change in, your normal sense of taste or smell (anosmia)

Have you or has anyone you live with:

experienced any of the above symptoms (in the last 14 days)?
awaiting a result on a test on COVID-19?
tested positive for COVID-19 (in the last 14 days)?

If the answer to any of the above is yes or you are not sure you MUST cancel you appointment immediately and seek medical advice. You will NOT be charged a cancellation fee and we will reschedule your appointment for a later date once the period of Self Isolation is over (as per government guidelines).

Signature *By entering your name in the box above you are signing to say that the above form has been filled out correctly.

Date *

These details collected will be held confidentially and in compliance with GDPR along with your normal consultation forms and in line with insurance requirements.