RONNY@STUDIO 203 QUESTIONNAIRE

RONNY@STUDIO 203 QUESTIONNAIRE

My Priority is Your Safety, Sanitation and Wellness
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Salon Service Pre-Screening
CLOSE CONTACT IS DEFINED AS
- Being within approximately 6 feet of a Covid-19 case.
- Close contact can occur when caring for, living with, visiting, or sharing a healthcare waiting area or room with a Covid-19 case.
- Having direct contact with infectious secretions of the Covid-19 case (ex: being coughed on)
1. HAVE YOU BEEN IN CONTACT WITH ANY PERSON DIAGNOSED (CONFIRMED BY TEST) WITH COVID-19 IN THE LAST 14 DAYS?
2. HAVE YOU BEEN AROUND ANYONE THAT HAS HAD A FEVER, COUGH, SORE THROAT, MUSCLE ACHES OR SHORTNESS OF BREATH IN THE LAST 14 DAYS?
3. ARE YOU EXPERIENCING ANY LOWER RESPIRATORY ILLNESS (COUGH, shortness of breath, and/or fever)
4. I UNDERSTAND THAT IN ORDER TO RECEIVE AND SERVICE BY RONNY KLINDT AT STUDIO203, I MUST WEAR A FACE MASK, WASH MY HANDS UPON ENTERING SALON AND USE HAND SANITIZER PROVIDED.
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Salon Service Pre-Screening