COVID-19 Waiver / Release, Consent & Screening Survey forms for Salons & Spa

Integrated with appointment

We made this feature free for all businesses without any restriction as a social cause. You can also use it with your existing software.

Customisable Consent & Screening Forms To Suit Your Need.

Fully Integrated With Appointment. Auto Alert Manager For Any Risk With The Appointment.

salon COVID-19 Screening & Consent forms integrated with appointment

Appointment Details

salon COVID-19 screening forms during appointment booking
Get notified about Client's response and get a 360 ° view

Consent / Assessment form from Customer

salon COVID-19 Screening, consent form response from customer
Decide to accept or cancel the appointments based on Client's response

Why do you need this

The best practice during the COVID-19 crisis is to pre-screen your Salon Clients with a screening survey form & get consent from them before inviting them to your Salon / Spa. Your priority is to protect your employees & customers.

How it works

Online Booking Integrated with COVID-19 Salon Screening Survey & Waiver / Release form
  • Customer book appointment through online MioSalon Booking system
  • Followed by Customers will fill Consent (and/or) Assessment Form in the same booking experience.
  • MioSalon processes the form and creates appointments with assessment results.
  • MioSalon alerts the manager for any possible COVID-9/Consent risk from the customer.
  • Manager decide to accept, cancel the appointment and figure out the required measure.
Phone Booking Integrated with COVID-19 Screening & Consent Forms
  • Customers call Salon/Spa to book appointments.
  • The manager creates an appointment in MioSalon
  • MioSalon automatically sends an SMS/Email with Survey to know about possible exposure to COVID-19 with Consent Form.
  • The customer fills the survey questions and responds back.
  • MioSalon processes the response. If the response is suspected to have exposure to COVID-19, MioSalon alerts the Manager.
  • Decide to accept the appointment or cancel it.

COVID-19 Consent & Screening Survey Form for Salons & Spa

Assess your Salon Clients' health information using COVID-19 Screening Survey Forms and get Consent from them while booking appointments through Online / Phone Booking.

You will get a default survey form with the below questionnaires when you sign-up. You can also customize the forms based on your needs.

COVID-19 Screening Survey Questions for Salons & Spa
  • Do you have fever ?

    Yes / No

  • Do you have a dry cough ?

    Yes / No

  • Do you have breathing difficulties ?

    Yes / No

  • Do you have severe muscle aches ?

    Yes / No

  • Do you have continuous chest pains or chills and shivering ?

    Yes / No

  • Do you have any advice from the Government Health Department to stay quarantined for possible exposure ?

    Yes / No

  • Are you in the COVID-19 surveillance list of the Government ?

    Yes / No

  • Have you had any contact with a new coronavirus-related patient in the past 14 days ?

    Yes / No

  • Have any one of your immediate family members had contact with a new coronavirus-related patient in the past 14 days ?

    Yes / No

  • Have you visited any cities in COVID-19 affected countries in the past 14 days?

    Yes / No

*if your answer is “Yes”, we suggest to arrange immediate medical attention for you

Other Samples Questions

  • Do you have runny nose ?

    Yes / No

  • Do you have diarrhea ?

    Yes / No

  • Do you have chronic sneeze ?

    Yes / No

  • Do you have headache issues ?

    Yes / No

  • Do you feel tired and exhausted ?

    Yes / No

  • In the last 48 hours, have you had any of the following NEW symptoms?

    • Fever of 100.5 F (38 C) or above, or possible fever symptoms like alternating chills and sweating
    • Trouble breathing, shortness of breath or severe wheezing
    • Chills or repeated shaking with chills
    • Loss of smell or taste, or a change in taste
  • Do you have any of the following possible emergency symptoms?

    • Struggling to breathe or fighting for breath even while inactive or when resting
    • Feeling about to collapse every time you stand or sit up (floppiness or a lack of response in a child under age 2)
Salon COVID-19 Waiver / Release, Consent Form
  • I confirm that I have not felt any flu-like or common cold symptoms in the past 14 days. (Symptoms includes: Fever, Cough, Sore throat, Running nose, Respiratory difficulties, Muscle Aches)

    Yes / No

  • I confirm that I have not been around people who exhibit the above mentioned symptoms

    Yes / No

  • I understand that i will have to follow the Salon's strict guidelines to help prevent each other from the spread of contagious COVID-19 virus

    Yes / No

  • I understand that travel significantly increases my risk of contracting and transmitting the COVID-19 virus and I will take preventative measures.

    Yes / No

  • I understand that it is not always possible to determine who has contracted COVID-19 virus as they don’t show any symptoms and still can be highly contagious.

    Yes / No

  • I understand that visiting a Salon can elevate the risk of contracting the virus because of the nature of salon & beauty services and frequent visitors

    Yes / No

  • I confirm that I have not travelled domestically using public transports or outside the country in the past 14 days

    Yes / No

  • I confirm that I have followed the practice of Social Distancing in public places.

    Yes / No

  • Temperature Check before entering Salons

    I’m willing to get my body temperature checked before beginning my salon services. If my Temperature is above 99’ I agree to not visit the Salon for the next 14 days and with any of the common COVID-19 symptoms including Fever, Cough, Sore throat, Running nose, Respiratory difficulties, Muscle Aches

    Yes / No

  • I understand all the potential risks and complications related to COVID-19, and I would like to proceed with my desired Salon Services

    Yes / No

  • I understand, read and completed this questionnaire truthfully to the best of my knowledge. All of my questions have been answered to my satisfaction and I consent to the terms of this agreement

Other Samples Questions

  • I knowingly and willingly consent to having hair and salon service(s) during the COVID-19 pandemic.

    • by checking this box I understand and accept this statement.
  • 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

    • by checking this box I understand and accept this statement.

Your questions can range from generic ones like "do you have a cough?" to narrowed ones like "Have you been in close contact with any corona-infected person lately?" to get a 360 ° view of the client even before they step into your outlet.

Is it possible to run your salon & spa even during such a global outbreak?

Please closely follow the Government's update on operating rules, it varies from Countries and States.

If you are running your business, here is our recommendation to refrain from COVID-19

  1. Maintaining a proper salon etiquette
  2. Having complete control over the clients you accept.

With strict hygiene measures and sanitation you can maintain your salon etiquette but it is vital to assess your clients’ health information even before they step into your Salon or Spa.

You just have to Integrate a COVID-19 Screening Survey & Consent form with Salon & Spa Appointment Booking.

Frequently Asked Questions on Survey

Can I use this Survey for Free?

Yes, this appointment management and survey is offered as free for all businesses. You do not need to pay for it. If you wish to use other features, talk to us.

Can I use this survey when I use other billing software?

Yes, we are offering this feature as a social cause. You can use this feature separately just to screen the appointment and do the regular business operation using the existing software you have.

Do I need to integrate with my current Software?

No, you can use the Miosalon’s appointment + survey module separately just as a pre-screening. Whenever you get an appointment through online booking or phone call, create an appointment in MioSalon, it will send an automated survey. Upon response from the client, you decide to create an appointment in the actual software you are using.

Do I need to pay anytime in the future?

No, you do not have to pay in the future and it is not necessary to continue to use this module post crisis. It is upto your wish to continue or not. No restriction on the payment.

Do I need to pay any additional/hidden charges?

No, there are no hidden charges. But you need to recharge SMS to send the survey notification. MioSalon has to pay the SMS charges to the SMS gateway provider.


How to prevent your Salon from COVID-19?
Prevention is key
  • Do use hand sanitizers before entering into the salon & spa.
  • Wash your hands for a complete 20-30 seconds to get rid of germs.
  • Avoid getting in physical contact with people who have severe cough and fever.
  • Accept online bookings & prefer online payments
Be careful of clients you accept
  • Make sure your clients do not have any of the common COVID-19 symptoms.
  • Even if they arrive with acute cough, it’s your responsibility to politely refuse the appointment and rebook them after some time.
  • It is better to accept clients with pre-booked appointments.
  • Encourage your clients to visit your business location with proper face mask. If not, provide them one.
Do not compromise your employees’ health
  • Do not encourage employees to be at the workplace when they’re sick or exhibit any of the symptoms put forth by WHO.
  • Make sure they can work only when they believe to be 100% alright.
  • Provide masks, gloves or a face shield to your employees as they’re going to be in close contact with clients
  • Have an adequate supply of essentials like hand sanitizers & disinfectants.
Maintain proper hygiene
  • Provide hand sanitizer to your customers before entering the salon
  • Disinfect your tools & furniture and maintain a proper cleaning schedule
  • Clean your salon during opening and closing procedures and follow a deep-cleaning process twice a weak.
Sell Online
  • Your online store is open 24*7. Let your customers purchase gift cards & retail products at their own convenience.
  • Let your clients know your salon is well maintained by posting short videos of your cleaning procedures
Improve your immune system
  • Eat healthy food and avoid toxins
  • Have adequate sleep everyday to help your body to rebuild the immune system
  • Have a go-to relaxation technique to reduce stress levels and refrain yourself from producing more stress hormones.

Appointment Booking + COVID-19 Screening & Consent Form

Get started for free