One Stop To Fabulous COVID19 Pre-Screening
Following the COVID-19 pandemic, we’ve put extra measures in place for the safety of you and our team members. We require all clients to fill in our COVID-19 Form before any traveling stylist arrival so that we can provide the best possible and safe experience to our clients and team members.Please carefully read and answer the below question. This information will be stored confidentially and securely by One Stop To Fabulous.If you or a member of your household has developed a cough, fever, breathlessness, sore throat or headaches in the last 14 days, please contact us before your appointment.
Full Name
*
First Name
Last Name
Phone Number
*
-
Area Code
Phone Number
Do you have any of the following symptoms?:
*
New and persistent cough
Shortness of breath or any difficulty breathing
Fever over 100.40 F
No Symptoms
Have you been in contact with anyone in the last 14 days who is experiencing these symptoms?
*
Yes
No
Have you been in contact with anyone who has since tested positive for Covid-19?
*
Yes
No
Not Sure
Agreement
I have understood, read and completed this form truthfully to my knowledge.
*
yes
I confirm that I have not travelled outside of the within the United States by commercial airline,bus or travel in the last 14 days
*
yes
Type your name for your signature
*
Submit
Should be Empty: