Additional Client Intake Pages-Hair/Nail/Lash/Esthetician/Brows Profile
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Additional Bundle of Client Profile Pages. Each Bundle comes with 30 blank pages, hole punched & ready to be added to your profile book. Choose A5 (8 Disc) or Letter (11 Disc) Pages A5 - 6"x8.5" Letter - 8.5"x11" Choose Hair Salon Nail Technician Lash Technician Esthetician Microblading Salon Book Info Customer Information - Name Phone # Address Allergies Referred By Hair Condition - Scalp Condition Hair Texture Natural Base Level Lines to keep track of Customers Appointment Date Service/Treatment Price Look for matching Salon Appointment books! Nail Technician Info Customer Information - Name Phone # Address Allergies Referred By Preferred appointment day & time Personal Nail Care Products Used Retail Products Purchased How did you hear about us? What professional nail services have you had? Cuticle Condition Nail Condition Preferred shape/length Perferred enamle colors Nail service Other Service Notes Lash Technician Info Customer Information - Name Phone # Address Allergies Referred By Do you wear contact lenses? No Yes Have you ever had eyelash extensions before? No Yes If Yes, any allergic reaction or sensitivity? _________________________ Do you have any allergies? No Yes please specify_____________ Any eye problems in the last 4 weeks? No Yes Do you perm or tint your lashes? No Yes Do you use eye products (e.g. eye drops)? No Yes Type of eye makeup remover & mascara? _______________________ Medical Conditions/Surgeries___________________________________ Natural Lash Information Natural eye shape Natural eyelash texture Natural eyelash shape Natural eyelash arrangement Skin Sensitivity Test Date Allergy/Reaction Client Preference Thicker, Longer, Dramatic, Natural, Long term, Special Occasion Notes Esthetician Form Customer Information - Name Phone # Address Referred By What type of skin do you have? Normal Oily Dry Combination Current Skincare Routine Cleanser Toner Scrub Mask Moisturizer Other What skin concerns do you have? Acne, Fine lines, Wrinkles, Blackheads/Whiteheads, Uneven skin tone, Redness, Sunspots, Sun damage, Dry skin, Shine/Oily skin, Other Do you have any allergies? Have you been under the care of a dermatologist in the last 12 months? Do you currently or have you in the past 3 months used Retinol/Vitamin A derivative, Retin-A, Renova, or AHA’s? Have you received Botox, Collagen or Restylane injections in the last 6 months? How did you hear about our business? Microblading Forms Customer Information Name: ____________________________ Phone # ______________________ Address: _________________________________________________________ City: ________________________________ State: ________ Zip: ___________ Birthday ___/___/______ How did you hear about us? ___________________ Emergency Contact: _______________________ Phone#__________________ Have you ever had any microblading or permanent makeup tattoos in the past? Y/N If Yes, when? ______________________________ Do you now or have you ever had an eyebrow piercing? Y/N Are



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