COVID-19 PRE-APPOINTMENT SCREENING

Are you feeling sick? (Cough ((even residual)), headache, weakness, fever, difficulty breathing, loss of smell or taste, loss of appetite, chills, etc.)*

YES
NO

If YES, stay home and contact public health. You may be required to self-isolate.

Have you had any illness in the past month that has not completely resolved?*

YES
NO

If YES, please reschedule your appointment.

Have you travelled outside of BC in the past 14 days?*

YES
NO

If YES, please reschedule your appointment.

Have you provided care or have had any contact with a person with COVID-19 (probable or confirmed) or a person with any other symptoms of illness whatsoever?*

YES
NO

If YES, please stay home and self-isolate for 14 days. Your appointment will be rebooked after that point.

Have you been abiding by recommended prevention practices by the BC Government including wearing a mask in indoor public spaces, physical distancing and not attending large gatherings or parties?*

YES
NO

If NO, please cancel any booked appointments. We are now in each others’ bubble and I count on you to keep me safe as I do you.

For more information on COVID-19, please visit: Canada.ca/coronavirus

*If you do not answer these questions truthfully and wilfully choose to risk the lives of my family, myself and my other clients in the name of a nail appointment, be warned that legal action will be taken.

Name*