Client Health Questionnaire

PRIOR TO THE START OF MY SERVICE, I CONFIRM THAT:
Consent*
I have not been diagnosed with or cared for someone diagnosed with COVID-19 in the past two weeks.*
Consent*
I have not shown symptoms of COVID-19 or come in close contact with anyone exhibiting these symptoms in the past two weeks.*
Consent*
I have not traveled outside of my immediate daily routine for the past two weeks.*
Consent*
I do not have a cough, fever, chills, shortness of breath, or loss of taste or smell.*
Consent*
If I begin to show symptoms of COVID-19 within the next two weeks, I will contact my stylist.*
Consent*
I will follow all posted salon rules to keep myself, my stylist and those around me safe.*
Signature*
Name*
Email*
Phone Number
Date*
MM slash DD slash YYYY

CONTACT INFO

SALON HOURS

Mon – Fri: 11am – 8pm
(Last haircut appointment at 8pm)
Sat: 10am – 7pm
(Last haircut appointment at 7pm)
Sun: 10am – 5pm
(Last haircut appointment at 5pm)

Earlier appointments available upon request
Walk-ins welcome
Complimentary Wi-Fi available

Mon – Fri: 11am – 8pm
(Last haircut appointment at 8pm)
Sat: 10am -7pm
(Last haircut appointment at 7pm)
Sun: 10am – 5pm
(Last haircut appointment at 5pm)

Walk-ins welcome
Complimentary wifi available

PROUDLY BUILT BY

CANCELLATION POLICY

We understand that unavoidable circumstances come up and you need to change your schedule. We kindly ask that you give us 24 hours notice if you need to cancel or reschedule your appointment. Cancellations made less than 24 hours before your appointment may incur a charge of 25% of the scheduled service. A late or missed appointment may incur a charge of 25% of the scheduled service. “No call, no shows” will be charged 50% of the scheduled service.