Concord Barber Shop193 North State Street, |
Concord Barber ShopCovid19 page “Pre-Screening questionnaire form” |
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Concord NH 03301
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All of the following questions must be False in order to continue this service without rescheduling according to the New Hampshire 2.0 guidelines.===== Have you been in close contact with a confirmed case of COVID-19? Have you had a fever or felt feverish in the last 72 hours? Are you experiencing any respiratory symptoms including a runny nose, sore throat, cough, or shortness of breath? Are you experiencing any new muscle aches or chills? Have you experienced any new change in your sense of taste or smell? Do you have any symptoms of COVID-19 ? Have you Traveled in the past 14 days outside the U.S.? Have you Traveled in the past 14 days outside of the states of New England? Have you wipeed your butt with your right hand this week?(kidding) ====== All of the following statements must be TRUE in order to continue this service without rescheduling according to the New Hampshire 2.0 guidelines. I certify that this is my pre-screening remote interview, I will sign documents on site to affirm this, and by clicking “I Agree” I am accepting these terms. |
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