Nail Consultation Form

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You must be over 18 years of age to complete this form. If you are under 18 years of age, a parent/guardian must complete this form on your behalf, plus the Parental Consent Form.

Why élégant nails need the information and how it is used:

At élégant nails, I take your privacy seriously. For health and safety of clients, I maintain records of any health and/or medical conditions, which may indicate that a particular service or treatment would not go ahead (eg allergies, pregnancy, skin conditions), or a particular product should not be used.

Please note that this form must be kept for a minimum of 7 years from your last treatment for insurance purposes and require clients to complete and submit this form before any treatment takes place. In the case of minors, this will be 7 years after they reach the age of 18.

Clients records from this form are stored on the secure Cloud on Google Forms or on an encrypted computer. Please read the privacy policy at https://elegant-nails.co.uk/policy-documents for more details.

The health records are only used in relation to treatments and service by élégant nails and not used for any other purpose.

Email *

Hands and fingernails:

What's your preferred nail shape? *

Natural

Rounded

Oval

Almond

Square

Squoval (Squared-Oval)

Coffin/Ballerina

Stiletto

Required

Do you spend time on your own nails? *

Always

Sometimes

Rarely

Never

Required

Do you have a history of biting or picking at your nails and/or cuticles? *

Always

Sometimes

Rarely

Never

Required

What is your goal when it comes to your finger nails? *

Growing my nails;

Strengthening my nails;

Stop biting/picking my nails;

Protecting my nails to stop them splitting/peeling/breaking;

Other:

Required

Have you ever had an adverse reaction to nail products (acrylic, gel polish, UVGel, acetone etc)? *

Yes

Other:

Required

Feet and toe nails:

(Optional - please complete if you would like to receive pedicure treatments)

Do you spend time on your own toe nails/feet?

Always

Sometimes

Rarely

Never

Do you suffer with any of the following:

Athletes foot;

Ingrown toe nails;

Callouses and/or Corns;

Chilblains;

Verruca's.

Other:

What is your goal when it comes to your toe nail/feet?

Improve the condition of my toenails;

Removal of hard skin;

Improve circulation of the blood and lymphatic system;

Improve skin condition of legs and feet;

Other:

Have you ever had an adverse reaction to nail products (Gel polish, nail enamel, acetone etc)?

Yes

Other:

Is there anything that you’d like to make élégant nails aware of before attending your appointment? *

I can confirm that I have completed this form to the best of my knowledge and understand that if there are any changes to my medical or personal details, I will make my technician aware before further treatment is carried out.

Full Name: *

Parent/Guardian Name (if required):

Contact Number: *

Date of completion: *

YYYY

A copy of your responses will be emailed to the address you provided.

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