New Client Covid-19 Inquiry Form Mandatory covid-19 intake as dictated by NJ State Guidelines Name * First Name Last Name Phone * (###) ### #### Date of Birth MM DD YYYY Email * Peferred contact method * Email Text How did you hear about us? * Who will you be your service provider for your last appointment? * Davida Fernanda Gina Lorraine Lucie Michelle Mara I don't know yet Are you looking to have a dramatic change? If so, your service provider may have to consult with you prior to your appointment. * No changes at this time. Yes please! No thank you. I will send photos of what I want done and goals via email prior to coming in. Not sure yet. What services would you like to have done? * What changes have you made to your hair during the shutdown? * I used boxed color. Home remedies I may have to cut it. I NOW HAVE BANGS! I've been so good. Other I understand all guests will be greeted at the entrance and walk-ins are not permitted at this time. * I understand I understand that with new regulations in place, I will NOT bring family members or friends to my appointment. * I understand. I will confirm with Lorraine's House of Styles by checking in via text or upon arrival by calling 201-217-3136 * I understand. I understand that I will need to wear a mask to my appointment. I also understand not to wear my fancy Etsy mask to my appointment. * I understand I understand that a mask is necessary and Lorraine's House of Styles will provide one for me if I forget mine for the small fee of $3. * Got it. I understand I have to make an appointment for all the services I want prior to coming in. Lorraine's House of Styles may NOT be able to accomodate add on services at this time. * Got it. I understand that if the salon is at full capacity you will be informed when to enter the premises. * Yes I understand all large personal items such as large handbangs, shopping bags and other large items are not permitted at this time. * I understand I understand if I'm late for my appointment I will be rescheduled and charged a 100% service fee. Got it. I understand. I understand employees nor guests will be permitted on the premises if they have Covid-19 symptoms * I understand my appointment must be cancelled 24 hours prior to my scheduled time or I will incur a 50% service fee of my appointment. * I understand. Please put your initials. * Today's Date MM DD YYYY Thank you!
