COVID Form | Sugacurls Salon LLC

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In the past 24 to 48 hours, have you or anyone around you been diagnosed with COVID-19 or asked to quarantine?

In the past 24 to 48 hours, have you experienced any of the following symptoms: Fever 99.1 or greater, chills, headache, vomitting, diahrrea, sore throat, runny nose, vomitting, un-controllable shaking, coughing, sneezing, chest pain, difficulty breathing, loss of taste or smell? Explain

In the past 14 days have you traveled to another City, State or Country? If so, what level Covid-19 health advisory was reported: 1,2, 3, 4, or 5?

Sugacurls Salon's - Health Screening Questionnaire