Esthetics Pre-Appointment Consultation

Pre-Appointment Consultation

Skin Care Services
Thank you for completing this Pre-Appointment Consultation. This will enable your service provider to be more prepared for your appointment.
Name*

First NameLast Name
Email
example@example.com
Existing Appointment Date

MonthDayYear
Date
Do you have any allergies, sensitivities, injuries or other limitations that could affect your treatment?
Are you experiencing any stress? If so is it Low, Medium, or High?
How do you want your energy level to be today?
What type of service are you scheduled for

FacialBody TreatmentWaxing
What is the primary goal for your facial?

Maintain radiant, glowing complexionRestore aging or uneven looking skinRestore red, irritated skinMaintain clean, clear poresRestore acneic skinMaintain/restore eye areaMaintain/restore neck/decollete areaOther
What is the primary goal for you body treatment?

Exfoliate, refine and smooth skinDetoxify and tone skinHydrate SkinOther
Is there anything else about your health history you think would be useful for your esthetician to know to plan a safe and effective service for you?
Any other questions or concerns?
That's it! Thank you for participating. We look forward to seeing you soon!

Sandalwood Salon and Spa

360-647-5046
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