Pre-appointment Check-in – Jordana Lorraine

Name *

Phone

Email

Appointment actions

Confirm appointment with no changes to time or services

Request a change to services*

Cancel or reschedule appointment*

*cancellation policy may apply

Jordana will contact you within one business day. Please add details here:

Do you have any questions you'd like to ask prior to your appointment?

Please check your homecare product inventory so you'll know what you may need to restock. Feel free to let us know here and we'll have them ready for you! Bring any bottles that are refillable, to save money and waste. You can also use this space to let us know if you have questions about/interest in any other products!

Are you currently feeling sick or experiencing any potential symptoms of Covid?

Yes

No

Have you had any known exposures to Covid, flu, etc. in the past 10 days?

Yes

No

I have read and agree to policies

Confirm

Face masks are now optional for clients Jordana's suite (Jordana and her assistant will continue to wear them).

I understand and accept this update

Masks are of course welcome and respected if you prefer to wear one. If you do not have one, disposable masks are available

Please share details here: