FREE COVID-19 Questionnaire Consent Form Download


Please feel free to download and use this Coronavirus Consent Form for your clients. With the beauty industry reopening soon (hopefully), I would advise asking your clients to fill in this questionnaire and confirm the information statements for the safety of your clients, family and yourself. 


Download the PDF Form with the below button, or you can copy and paste the text from the Form below to make your version. 



COVID-19 Consent Form

Please answer the following questions honestly and to the best of your knowledge. 


You understand that I am committed to keeping you, me, and all of our families safe from the spread of this virus. If you show up for an appointment and I believe that you have a fever or other symptoms, or believe you have been exposed, I will have to require you to leave the premises immediately. We can follow up with services by telephone as appropriate.


If I test positive for the coronavirus, I will notify you so that you can take appropriate precautions. 


  1. Have you or anyone you have had close contact within the last 14 days, is awaiting testing for diagnosis or has been diagnosed with COVID-19?
  2. Are you or have you in the last 14 days shown symptoms of fever, cough or shortness of breath?
  3. Have you been or have had close contact with someone in the last 14 days which has been on an aeroplane from outside of the UK?


  • I knowingly and willingly consent to have beauty treatment during the COVID-19 pandemic.
  • To prevent the spread of contagious viruses and to help protect each other, I understand that I will have to follow the salon's strict guidelines. 
  • I understand that due to the frequency of visits of other clients, the characteristics of the COVID-19, and the characteristics of hair services, that I have elevated the risk of contracting the virus by merely being in the salon.
  • I understand that due to the nature of beauty treatment, I am unable to maintain the recommended social distancing. 
  • I'm willing to take a temperature check during my visit to the salon before the services are started, and I agree not to come to the salon with the following symptoms of COVID-19 listed below: Fever- Temperature Shortness of breath Loss of sense of taste or smell Dry cough Runny nose Sore throat.


I understand, read, and completed this questionnaire truthfully. Services will not be offered to or given by anyone who is sick or exhibiting signs of illness.


FREE COVID-19 Salon Poster Download


Royalty-Free Coronavirus Consent form for Eyelash Extensions, Lash Lift, Eyebrow Treatment, Lashes or any other Beauty Salon use. Free to download or use. 


44 Shaldon Drive, Derby, DE23 6HY, East Midlands