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Clone Of Covid 19 Screening

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Clone of Covid 19 Screening

Screening questions for salons

Page 1

Please answer the following questions before entering the salon

Email*

Full Name*

Phone Number*

Date of Birth*

Select date

Gender*

Have you been vaccinated?*

Have you had Covid-19?*

Description:Screening questions for salons

This form template is a clone of the Covid-19 screening form that is designed specifically for salons. It contains a set of screening questions that salon owners can use to screen their clients before they enter the salon. The questions cover a range of topics such as recent travel history, exposure to COVID-19, and any symptoms that the client may be experiencing. By using this form, salon owners can ensure that they are taking all necessary precautions to keep their staff and clients safe. The form is easy to use and can be customized to suit the needs of any salon.

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Name of Caregiver*

Name of Evaluator*

Date of Evaluation*

Select date

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Patient Name*

Patient Age*

Patient Gender*

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First Name*

Last Name*

Date of Birth*

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First Name*

Last Name*

Date of Birth*

Select date

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ชื่อ*

นามสกุล*

วันเกิด*

Select date

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Phmu4_hh

ครัวเรือนเป็นส่วนสำคัญของบ้าน ซึ่งเป็นที่อยู่อาศัยของครอบครัว ในครัวเรือนจะมีการปรุงอาหาร และทำกิจกรรมต่างๆ เช่น ทำความสะอาด ซักผ้า รวมถึงการพักผ่อน ความสะดวกสบาย และความอบอุ่นในครอบครัว การใช้แบบฟอร์ม PHMU4_HH จะช่วยให้เจ้าของบ้านสามารถวางแผนการจัดสิ่งของในครัวเรือนได้อย่างมีประสิทธิภาพ

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