COVID screening | The Fabulush Lab

Covid-19 Questionnaire

We value your health and safety.

Please fill out the following questionnaire within 24 hours of your appointment. Clients must complete the questionnaire and adhere to The Fabulush Lab's COVID guidelines and policies. Failure to adhere to these guidelines and policies will result in a cancellation of your appointment and a forfeit of your deposit.

First Name

Last Name

Phone

I have not, nor have I been in contact with someone who has travelled outside the country within the past 14 days.

I have not exhibited, nor have I been in contact with someone who has exhibited any COVID/cold/flu-like symptoms within the past 14 days.

If I begin to exhibit any COVID/cold/flu-like symptoms, or test positive for COVID, I will contact The Fabulush Lab immediately.

Initials

Date

I declare that the info I have provided is accurate & complete. I have also read, understood and agree to The Fabulush Lab's guidelines and policies.

Thanks for completing the questionnaire.

See you soon!