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Eyelash Client Intake Form Mobile App

If you work in the cosmetology industry and offer eyelash extensions to your clients, the Eyelash Client Intake Form Mobile App is the easiest way to keep your appointments organized on your mobile device or tablet. This consent form gathers information on new customers and allows them to sign a declaration and there is also the option to draw a diagram of each eye to show any past issues with lash application.

The technician or licensed esthetician performing the eyelash extension will find this app very useful when starting out with a new client as the consent form will allow them to discuss what type of lash growth they desire and if they prefer individual eyelash application.

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Take a Tour

Take a peek inside the Eyelash Client Intake Form Mobile App

Included Features

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Included Fields

Customize to add, remove, or edit any of the fields below.

First Name
Surname
Date of Birth
Street Number & Name
Suburb
Postcode
State
Profession/Industry
I heard about this company through
I would like to be informed of specials and offers by Email?
Have you had eyelash extensions before?
Approximately how many times or for how long?
When was the last time?
Do you have any medical issues past or present we need to be aware about?
Details
Are you wearing contact lenses?
Are your lashes for a special event or for everyday wear?
Please describe what kind of look you are after.
Do you wear eye make up
Do you use a lash growth serum?
Brand
I accept I will be charged a cancellation fee of 50% of any bookings I make if I cancel with less...
Signature
Consulting Technician
Lashes are
Lash colour
Length of lashes at midpoint
Lashes are
...and More!