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VOANCE HAIR SALON - COVID-19 Screening for Customers
This form is for clients planning to visit Voance Hair Salon. If your answers indicate "The customer is advised to not visit the salon.", please stay home and reschedule your appointment if you have one. You are also advised to get a no-contact temperature check at the salon.
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Full Name
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Your answer
Do you currently have a fever of 100.4 degrees F or greater?
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Yes - No further screening is needed. The customer is advised to not visit the salon.
No - Go to the next question.
Do you have a cough or shortness of breath that began within the past 14 days?
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Yes - No further screening is needed. The customer is advised to not visit the salon.
No - Go to the next question.
In the past 14 days, have you gotten a positive result from a COVID-19 test that tested saliva or used a nose or throat swab? (not a blood test)
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Yes - No further screening is needed. The customer is advised to not visit the salon.
No - Go to the next question.
In the past 14 days, have you been in close contact (within 6 feet for at least 10minutes) with anyone who either tested positive for COVID-19 (not a blood test) or developed symptoms of COVID-19 (fever, cough, or shortness of breath)?
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Yes - No further screening is needed. The customer is advised to not visit the salon.
No - The customer can visit the salon.
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