Covid19-questionnaire

Covid-19 Allergy questionnaire

As you know we take extra care when it comes to our clients safety and we want to make sure you are safe to visit our salon as it’s been a while since you have been, we therefore would like you to fill in this short questionnaire.

Once you have filled it in it will send it back to us and we can make sure you are safe to attend and if you need to have a skin test prior to any colour service.

Unfortunately, if you do not fill in this questionnaire, we may cancel your appointment until we can arrange a skin test.

 

Have you experienced cold or flu like symptoms (including fever, cough, sore throat or respiratory issues) &/ or loss of sense of smell in the last 14 days?

 

Are you suffering from cold or flu like symptoms (including fever, cough, sore throat or respiratory issues) &/ or loss of sense of smell?

 

Have you had close contact with or cared for someone diagnosed with Coronavirus/ COVID-19 within the last 14 days?

 

Have you or any family member been asked to self-isolate or advised to shield?

 

Have you travelled overseas in the last 14 days?

 

Colour Service / Skin Testing:-

Is it, more than 6 months since last colour (self or professional)

 

Have you had a tattoo, henna or black henna tattoo or permanent make-up since last colour?

 

Have you had a reaction to any hair dye since last professional colour?

 

Are you taking prescription medication for allergies?

 

Have you used a Box Dye &/ or had a Permanent Colour since last Salon appointment?

 

Please leave us your Full Name, email below

Full Name (required)

Email (required)

Mobile (required)

By sending this you agree that all the information is correct.