203 Lester: 519 745-7772 info@andrewnuri.com
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ANDREW NURI HAIR STUDIO

COVID-19 Screening Questionnaire

I hope you are doing well and look forward to seeing you for your appointment.

The Ontario Ministry of Health has mandated that we ask you these questions before you come to our salon.

Summer Hours:
Mon-Fri : 10AM-6PM
Sat: 9AM-4PM

  • Please bring a mask or we will provide a mask for $2
  • Please fill and submit the form below before your appointment.
  • Please come alone to your appointment.
  • Phase 1 of re-opening, there will be no blow-dry.

COVID-19 Screening Questionnaire

  • Date Format: DD slash MM slash YYYY
  • Please Read All The Questions Before Answering

  • Please put a checkmark on the symptoms you have, If you do not have any of the symptoms below, leave blank.