Carmen's Artistry - COVID-19 Policy & Health Screening (Fill out on Day of Appointment)

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*IMPORTANT* COVID -19 Policy: Due to the COVID-19, I want to ensure the safety/health of my clients and myself by taking the necessary precautions. A safe experience is a great one✨
Please refrain from bringing anyone with you to your appointment.
Please sanitize your hands and wash them regularly. You will be requested to your sanitize hands when you arrive.
I regularly clean/sanitize my work area by wiping down handles, doorknobs, bathrooms and seating
All tools are disinfected and/or sterilized after each client. I use disposable wands and applicators when possible.
If you (or someone you live with) have been or are currently feeling sick or unwell please DO NOT attend your appointment and reschedule.

Email *

Full Name *

Today's Date *

YYYY

Date of Appointment *

YYYY

Time of Appointment *

Time

Have you been vaccinated ?

Yes

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Have I serviced you before? *

Have you experienced a fever of 100.4° F or greater, a new cough, new loss of taste or smell, or shortness of breath within the past 10 days ? *

In the past 1o days, have you received a positives result from a Covid-19 test that tested saliva, or used nose or throat swab (rather than a blood test)? *

To the best of your knowledge, in the past 14 days, have you been in close contact (within 6ft or less for at least 10 minutes) with anyone while they had COVID-19? *

A copy of your responses will be emailed to the address you provided.

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