Nailcare Client Consultation Form

Skintuition Holistic Skincare uses disposable items when possible and high level sterilization (Wayne S500 dry heat cabinet and Rejuvenate AHP Advanced Hydrogen Peroxide) for implements, EXCEEDING STATE REQUIRMENTS.

How did you hear about Skintuition? *

If a friend referred you, please share their name

Did you find Tracy from the Meticulous Manicurist Global Network of Certified Nail Technicians? *

Yes No

If you experience "troubled toes and feet", you're welcome to submit photos here before your scheduled appointment.

Browse Files

Submit Photos if Applicable

Do you already have an appointment scheduled? *

Yes, I'm all set! Not yet, please have someone contact me

If you haven't opted in for TEXT MESSAGE APPOINTMENT REMINDERS, do we have your permission to do so? *

Yes No

Name *

Date of Birth *

Month Day Year

Age *

Email Address *

Phone Number *

Can we communicate with you via text message and/or email? *

Yes No

Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code

Emergency Contact *

Relationship *

Emergency Contact Phone Number *

What is your occupation? *

What are some things you like to do in your spare time? *

Are you wearing gloves if you clean the house, garden, wash dishes, etc? *

Yes No Sometimes

How often do you receive professional nail services? *

Weekly Every 2 Weeks Monthly Quarterly Special Occasions Never

When is the last time you had a professional nail service? *

Have you ever had an unpleasant experience at a nail salon or spa? Please share if you like.

What is your favorite part of having a professional nail service?

Do you experience any of the following nail conditions? *

Do you experience any of the following skin conditions? *

Fissures Excessive Callus Buildup Athlete's Foot* (may need to be treated 2 weeks before pedicure services) Dryness Inflammation Hangnails NONE

Do you have any pain in your hands? If so, please explain.

Do you experience swelling? *

Ankles Feet Legs NONE

Do you have any pain in your feet? If so, please explain.

Do you have excessive callus buildup? If treating at home, please explain how.

Do you have any of the following health conditions? *

What medications are you currently taking and their purpose? *

If NONE, please enter NONE in the box

Do you have allergies to: *

NO KNOWN ALLERGIES LATEX Artificial Fragrance Fruits Tree Nuts

Please explain what happens when you are exposed to what you are allergic to, if applicable.

Are you currently applying products to your nails? If yes, please list. *

If NONE, please enter NONE in the box

How dedicated to your at home nailcare routine are you? *

Very dedicated Somewhat dedicated It's not that important to me

PLEASE COME TO YOUR APPOINTMENT WITHOUT POLISH TO ENSURE EVERY VALUABLE MINUTE IS DEDICATED TO DETAILED NAIL WORK.

I acknowledge that with any optional nailcare service, certain risks are involved and that complications from known or unknown causes could occur. If I am receiving elective spa services and I experience any unusual side effects, I will contact Skintuition Holistic Skincare immediately.

I understand that if I purchase a package of services or products, individual results vary and I will not be given a monetary refund if I am unsatisfied. I will be offered a credit to use toward other services or products within a reasonable amount of time if proper notification is given.

CANCELLATION POLICY

ONLINE CANCELLATIONS accepted up to 72 hrs BEFORE YOUR SCHEDULED APPOINTMENT
APPOINTMENT CHANGES OR CANCELLATIONS WITHIN 72 hrs of your scheduled appointment, CALL or TEXT (703) 653-0567 and we will handle it for you
$75 NON-REFUNDABLE FEE charged for LAST MINUTE CANCELLATIONS WITHIN 48 HRS of scheduled appointment and NO SHOWS

LATE POLICY

Skintuition is by appointment only and all nailcare services are performed by a single technician. To ensure you will have the best experience, please plan to be a few minutes early. If you're late, it may not be possible to perform your scheduled service and a fee of 50% of your service will be charged.

I acknowledge and accept Skintuition Holistic Skincare policies as stated above *

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NAILCARE CLIENT CONSULTATION FORM

Lifestyle

Hand and Foot Health

Health History

Your Current Nailcare Routine

Policies to Keep Business Running Smoothly