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> create a Consultation Form for lash exetensions
create a Consultation Form for lash exetensions
Client Information
Full name
Contact information
Date of birth
Occupation
Allergies or sensitivities
Emergency contact information
Previous experience with lash extensions
Skin type
Preferred lash style
Frequency of lash extension appointments
Current medications or medical conditions
Lash Extension History
Have you had lash extensions before?
If yes, when was your last appointment?
What style of lash extensions do you prefer?
Are you looking for a natural or dramatic look?
How long do you typically like your lash extensions to last before needing a fill?
Have you experienced any allergic reactions or irritations to lash extensions in the past?
Do you have any specific concerns or preferences for your lash extensions (e.g. length, curl, thickness)?
Have you had any negative experiences with lash extensions in the past that we should be aware of?
Are there any specific goals or expectations you have for your lash extensions?
Medical History
Are you currently pregnant or nursing?
Do you have any skin conditions or allergies?
Are you currently taking any medication?
Have you had any recent eye infections or treatments?
Do you have any history of eye conditions, such as conjunctivitis or blepharitis?
Have you ever had any allergic reactions to adhesives or other beauty products?
Do you have any history of chronic illnesses or medical conditions that may affect the health of your lashes?
Have you ever experienced any discomfort or irritation from previous lash extension applications?
Are you currently undergoing any medical treatments or procedures that may affect your ability to receive lash extensions?
Consultation Questions
How did you hear about our lash extension services?
What are your expectations for your lash extensions?
Do you have any specific concerns or preferences?
Are you comfortable with the maintenance required for lash extensions?
Aftercare Instructions
Do you understand the aftercare instructions for lash extensions?
Are you willing to follow the aftercare instructions?
Do you have any questions about aftercare?
Consent and Agreement
I understand and agree to the terms of the consultation form.
I consent to the application of lash extensions.
I understand the risks involved with lash extensions.
Signature and Date
Client signature
Date of consultation
Consultant Signature
Consultant signature
Date of consultation
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