Covid-19 Screening Form | NewVue Salon Studio

Are you experiencing any of the following symptoms with unknown cause: fever, cough, shortness of breath, muscle pain, loss of taste or loss of smell?

Yes

No

Have you had close contact with any person IN SELF ISOLATION, QUARANTINE or under investigation for COVID-19 in the past 14 days?

Yes

No

Have you been in close contact with anyone who has been traveling internationally recently?

Yes

No

Have you had contact in the last 14 days with a person being tested with Covid-19?

Yes

No