Covid Form

Please complete this form before visiting The Parlour Salon

* Indicates required field

Name *

First

Last

Mobile Number *

Email *

Stylist *

Date *

To ensure of the safety and health of all of people interacting with The Parlour hair salon, clients and visitors must complete tis declaration form on arrival to the salon. If you indicate to us that you have any symptoms of Covid-19 or have been abroad within the last 14 days, you will be required to either restrict your movements or self-isolate.

Where this is the case, you are prohibited from entering the salon and advised to seek professional medical help/assistance in line with the HSE guidelines.

Have you visited any countries outside Ireland *

Are you suffering flu-like symptoms? *

Are you experiencing any difficulty in breathing or shortness in breath? *

Are you experiencing any fever/temperature symptoms? *

Did you consult a doctor or medical practitioner? *

How are you feeling health wise? *

Are you a close contact of someone who is a confirmed Covid-19 positive case? *

When in the salon, please adhere to our in-salon standard processes and procedures regarding infection control (i.e. hand washing, hand sanitising, general coughing and sneezing etiquette)

VIRTUAL SIGNATURE *

Date *

Submit

Covid-19 Questionaire

Please complete this form before visiting The Parlour Salon

When in the salon, please adhere to our in-salon standard processes and procedures regarding infection control (i.e. hand washing, hand sanitising, general coughing and sneezing etiquette)