COVID-19 Screenining

As mandated by the state of New York, we ask that you fill out this quick screening before your appointment.

If you experience any symptoms of COVID-19 in the following days after your appointment, please email hairbyrosangela@gmail.com immediately.

Name

First Name

Last Name

Phone

(###)

###

####

Have you had any COVID-19 symptoms in past 14 days?

Have you tested positive for COVID-19 in past 14 days, and/or (3) close or proximate contact with confirmed or suspected COVID-19 case in past 14 days.

Temperature

Thank you for your cooperation as we work to stop the spread. Your information will be kept confidential. For more information on the guidelines for Salons, please visit this link.

COVID-19 Screenining

Let’s Talk Hair!

Location

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