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Client Consultation
Hi there! We are glad you are here. This form will give me the basic information, making sure our time together (virtually or in the treatment room) is spent as valuably as possible.
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Name & Age & Contact Information You Wish to Be Reached By
*
Your answer
Best Time and Form of Communication Please Check All That Apply
*
Morning (9 am - 11 am
Afternoon (12 pm - 4 pm)
Evening (5 pm - 7 pm)
Text
Call or FaceTime
Email
Other:
Required
Select service(s) that you are interested in
*
Facials / Skin Treatments
Eyelash Services
Eyebrow Services
Other:
Required
Have you ever received these treatment(s) before?
*
Yes
No
If you answered yes, how was this experience for you?
Your answer
My main goal is to create a comfortable environment in which I deliver quality services. What can I do to ensure your comfort?
Your answer
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