HAIROLOGY ACADEMY COVID-19 FORM
Thank you for taking the time to answer these questions. The following questions are about ensuring your safety as well as the safety of our instructors.
Do you knowingly and willingly consent to have hair, nail and skin services during the COVID-19 pandemic?
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Yes
No
Do you understand the COVID-19 virus has a long incubation period during which carriers of the virus may not show symptoms and still be highly contagious?
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Yes
No
Do you understand it is impossible to determine who has it and who does not have it given the current limits in virus testing?
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Yes
No
Do you understand that due to the frequency of visits of other clients, the characteristics of the virus, and the characteristics of hair, nail and skin treatments, that you have an elevated risk of contracting the virus simply by being in a salon?
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Yes
No
Do you confirm that you are not presenting any of the following symptoms of COVID-19 listed? Fever-Temperature, Shortness of Breath, Loss of Sense Of Taste Loss of Sense Of Smell, Dry Cough, Runny Nose, and/or Sore Throat
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Yes
No
Do you confirm that you are not presenting any of the following symptoms of COVID-19 listed? Fever-Temperature, Shortness of Breath, Loss of Sense Of Taste Loss of Sense Of Smell, Dry Cough, Runny Nose, and/or Sore Throat
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Yes
No
Do you understand that air travel significantly increases your risk ofcontracting and transmitting the COVID-19 virus?
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Yes
No
Do you understand that the CDC, 0SHA and Georgia Board of Cosmetology and Barber’s recommend social distancing of at least 6 feet?
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Yes
No
Have you traveled outside the United States in the past 14 days to countries that have been affected by COVID-19?
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Yes
No
Is your temperature over 99%?
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Yes
No
Have you traveled domestically within the United States by commercial airline, bus, or train within the past 14 days?
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Yes
No
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