Thank you for your support!

Before your appointment, please fill out the following questionnaire. This helps us insure the safety of all our fantastic clients & stylists.

Basic Information

    Do you have any of the symptoms below?

    Fever
    (above 38.0C)


    YesNo

    Cough


    YesNo

    Shortness or
    difficulty breathing


    YesNo

    Sore Throat


    YesNo

    Runny Nose


    YesNo

    Have you, or anyone in your household, travelled
    outside of Canada in the last 14 days?

    YesNo

    Have you, or anyone in your household, been in contact with someone who is being investigated or confirmed to be a case of COVID-19, in the last 14 days?

    YesNo

    Are you currently being investigated as a
    suspected case of COVID-19?

    YesNo

    Have you tested positive for COVID-19 within the last 10 days?

    YesNo

    Please confirm that all questions answered above are true, to the best of your knowledge. If any of these answers are deemed to be untruthful (at the discretion of the stylist) before or at the time of appointment, it may be canceled or rescheduled without prior notice.