Facial Consultation Form - Sundays Day Spa And Salon Page 2
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23.
What skin type and/or problem do you feel you have?
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4.
Have you ever had a facial treatment before? If yes, where and when? Was it a beneficial
experience?
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5.
Have you ever had a reaction to a food, cosmetic, or skin care product? If yes, please give
details:
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____________________________________________________________________________
6.
Where do you purchase most of your face and body care products?
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7.
How much time do you spend on your daily skin care/make-up routine?
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8.
How you feel about your skin conditions? What would you like to improve?
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9.
Do you tend to tan or burn? ______________________________________________________
10.
Do you smoke or drink? How often? _______________________________________________
11.
Do you exercise and how often? __________________________________________________
12.
How much sleep do you get per night? _____________________________________________
13.
Are you interested in long or short term spa treatment? ________________________________
14.
Are you pleased with your current products: _________________________________________
15.
Have you ever been waxed? _____________________________________________________
I understand and agree to comply with all the salon and spa policies listed below:
1. We do not wax anyone on Accutane, Retin-A, or other medications/products that exfoliate or thin the
skin. We do not wax anyone undergoing chemotherapy or radiation treatments.
2. We will not treat clients with questionable medical conditions such as Herpes Simplex (cold sores, fever
blisters), open wounds or sores, healing incisions, infectious diseases, etc. We do not massage clients
undergoing cancer, diabetes, or systemic treatments or any other specific contra-indications for the body.
3. We require a minimum of 24 hours advance cancellation notice. Any client giving less will be
charged up to 100% of the service price.
4. I understand that services received here are not a substitute for MEDICAL CARE and any information
provided by the technician is for educational purposes only.
5. All information received by the client on this chart, is completely private and confidential.
6. We do not give cash refunds.
7. Defective products must be returned within ten (10) days of purchase to receive credit.
8. Gift Certificates are non-refundable and must be used within a year to avoid monthly inactivity fees.
9. ALL SALES ARE FINAL
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NAME
DATE
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