COVID-19 Health Screening at Hemaxi Beauty

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Before your treatment please complete the following health screening questions to maintain a safe environment for our staff and customers during this COVID-19 period.

Email *

Name *

Have you suffered from any of the following in the last 14 days? Please tick all that apply. *

Fever / High Temperature

Shortness of breath / Continuous coughing

Other illness

None of the above

Required

Have you suffered from or been around anyone who has suffered from corona virus in the last 14 days? *

Yes

Required

Are you classed as "High Risk" due to age or medical issues? *

Yes

Required

Have you had a vaccine injection?

First Injection

Both

None

Clear selection

Thank you for completing this health screening form, if there are any issues a member of our team will contact you before your appointment. If you are a high risk client and have not had the vaccine we recommend you do not book an appointment at the moment. Please wear a mask in the salon and during your treatment where possible.

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