Coronavirus customer declaration

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Email *

Name and surname *

Phone number *

Have you visited any of the countries outside Ireland excluding Northern Ireland? *

Yes

Required

Are you suffering any flu like symptoms / symptoms of coronavirusCOVID-19? *

Yes

Required

Are you experiencing any difficulty in breathing, shortness of breath? *

Yes

Are you experiencing any fever like / temperature symptoms? *

Yes

Did you consult a Doctor or other medical practitioner? *

Yes

How are you feeling Healthwise? *

Well

Unwell

Have you been in contact with someone who has visited an affected region in the past 14 days? *

Yes

NOTE:We would like you to relax during your visit and immerse yourself into the Salon Experience. For this reason, we have taken extra measures to safeguard our guests prior to arrival. We kindly ask you to complete this declaration for the safety of you our guest and our employees.Please follow our on-site standard processes/procedures regarding infection control, i.e. handwashing/hand sanitising and general coughing / sneezing etiquette, thank you. *

I understand

I don't understand

Required

Date *

YYYY

Name and surname

Send me a copy of my responses.

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