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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.

  • Lendlease
  • The Cooperative
  • PG&E
  • Red Bull
  • Mirvac

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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.

  • Ico textbox

    First Name

  • Ico textbox

    Surname

  • Ico date

    Date of Birth

  • Ico textbox

    Street Number & Name

  • Ico textbox

    Suburb

  • Ico integer

    Postcode

  • Ico dropdown

    State

  • Ico textbox

    Profession/Industry

  • Ico textbox

    I heard about this company through

  • Ico checkbox

    I would like to be informed of specials and offers by Email?

  • Ico dropdown

    Have you had eyelash extensions before?

  • Ico textbox

    Approximately how many times or for how long?

  • Ico textbox

    When was the last time?

  • Ico dropdown

    Do you have any medical issues past or present we need to be aware about?

  • Ico multiline

    Details

  • Ico dropdown

    Are you wearing contact lenses?

  • Ico dropdown

    Are your lashes for a special event or for everyday wear?

  • Ico multiline

    Please describe what kind of look you are after.

  • Ico dropdown

    Do you wear eye make up

  • Ico dropdown

    Do you use a lash growth serum?

  • Ico textbox

    Brand

  • Ico statictext

    I accept I will be charged a cancellation fee of 50% of any bookings I make if I cancel with less...

  • Ico signature

    Signature

  • Ico textbox

    Consulting Technician

  • Ico dropdown

    Lashes are

  • Ico textbox

    Lash colour

  • Ico textbox

    Length of lashes at midpoint

  • Ico dropdown

    Lashes are

  • ...and More!

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