CV-19 Safe Salon Service Provider Daily Form

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CV-19 Safe Salon Service Provider Daily Form

This form is to be used as a daily record for salon service providers to ensure that during the COVID-19 Pandemic, there are no symptomatic signs of the virus.

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* Indicates required question

Email *

Your email

First Name *

Your answer

Last Name *

Your answer

Do you have any of the following symptoms present today: Fever, Shortness of Breath, Runny Nose, Loss of taste or smell, Dry Cough, Sore Throat, Chills, Shaking with Chills, Head Ache *

Yes

No

Signature (Write Below) *

Your answer

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