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Salon Pedicure, Manicure Health Intake Form Mobile App

The Salon Pedicure and Manicure Health Intake Form mobile app is an electronic new customer intake form that can be customized for any type of spa services. Instead of filing out new spa customer intake forms by hand, the easy to use electronic client intake form can be accessed by spa industry professionals or beauty salon technicians using a smartphone or tablet. Simply open the app to generate a new spa customer intake form, and the customer will be prompted to answer a few general health and current skin care questions. This make it easy for professionals in the spa industry, including in day spas and in hair salons, to customize their spa care services.

The new spa customer intake form app can be used for spa treatments such as manicures and pedicures, skin care treatments and standard beauty salons treatment. The electronic client intake form is saved electronically for your records, making it easy to deliver future spa care services and to customize body treatments and hair salon treatments to the needs of the client.

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Take a peek inside the Salon Pedicure, Manicure Health Intake Form Mobile App

Included Features

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Included Fields

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

  • Ico date

    Date

  • Ico textbox

    Name

  • Ico dropdown

    May your service provider call you by your first name?

  • Ico dropdown

    Is this your first Spa/Salon Service ever?

  • Ico multiline

    What are your goals for this treatment?

  • Ico dropdown

    Have you ever had a negative reaction to any skin care product?

  • Ico multiline

    (If yes, please explain)

  • Ico dropdown

    Do you have any open wounds?

  • Ico multiline

    If yes, please describe.

  • Ico dropdown

    Are you pregnant?

  • Ico textbox

    If yes, please enter the number of weeks:

  • Ico dropdown

    Are you wearing contact lenses?

  • Ico dropdown

    Do you have any allergies?

  • Ico multiline

    If yes, please describe.

  • Ico statictext

    If you are receiving a Massage or Body Treatment, do you have or have you had:

  • Ico checkbox

    Any numbness or stabbing pains

  • Ico checkbox

    High blood pressure – Are you currently taking medication?

  • Ico checkbox

    Asthma

  • Ico checkbox

    Claustrophobia

  • Ico checkbox

    Any injuries to the lymphatic system

  • Ico checkbox

    Broken bones in the past two years

  • Ico checkbox

    Do you have any infections or fever

  • Ico checkbox

    Congestive heart failure, CHF or other cardiac problems

  • Ico multiline

    If you answered YES to any of the above, please describe:

  • Ico statictext

    If you are receiving a Facial, are you on any of the following medications?

  • Ico checkbox

    Accutane

  • Ico checkbox

    Retinal

  • Ico dropdown

    Do you have any skin conditions or breakouts you are concerned about?

  • ...and More!

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