Oasis Health Questionnaire

Pre Appointment Health Questionnaire

* Indicates required field

Name *

First

Last

Mobile Number *

Email *

Adress Details *

Line 1

Line 2

City

State

Zip Code

Country

COVID RELATED QUESTIONS

In the last 14 days have you: Mixed with anyone diagnosed with COVID? Been Abroad? Had a Positive covid test? *

If you selected YES to any of the above Questions please give the details Here *

Have you had any of the following new symptoms in the last 7 days: *

Have you had a covid vacine? Please type No or Yes and the date of the vacine below *

HEALTH RELATED QUESTIONS

If one or more of the conditions listed below is applicable, please select the main one and give further details below. Thank you *

If you have select anything from the list above or have knowingly been allergic to any treatment or ingredients please type the details here. If nothing applies type N/A *

Please type below if you're taking any medication or there are any other health conditions we should be made aware of. *

Remember a patch test is required for Lash & Brow Tint, Lash Perm, IPL-Laser, Microblading. Please book 48hrs in advance. *

I hereby warrant that the above information is correct. On the assumption that attention is given by the staff of Oasis Health & Beauty, whilst receiving or taking part in any activity related to the treatments, use of equipments or advice recommended. I confirm that neither Oasis Health & Beauty or its staff are responsible to me if any injury to health or well-being is incurred. I'm happy to recieve emails/messages from Oasis. All information is stored according to European GDPR regulations and not share out of the group. *

CLICK HERE TO SEND

Back to the Booking form or Pre appointment advise

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Award winning beauty salon leicester, Leicestershire and surrounding areas... Regional Winner Midlands 5* Salon
We aim is to meet and surpass your expectations on every visit... However if for any reason we don't achive this please click here please let us know how we could of made your Oasis journey a more enjoyable experience.