Wax Questionnaire

Name

First NameLast Name

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Email

example@example.com

Do you have any tendencies for ingrown hairs?

Do you have any tendencies for hyperpigmentation?

Do you have any tendencies for scarring?

Do you have any tendencies for bruising?

Are you currently taking any of the following medications? Please select all that apply.

Have you had any peels or microdermabrasion recently?

If so, how long ago?

Waxing may cause: Bruises, scabs, scarring, redness, hyperpigmentation, pimples or outbreaks. I understand all of the above mentioned reactions. I also understand if I change my skincare routine or medications I must inform the professional PRIOR to starting any service.

Do you have any allergies? If so, please list them below.

I agree to allow my photo to be taken for before/after results that may be posted online and shared.

No Refunds: Due to the nature of my services and limited availability, all sales are final and non-refundable. This includes services, packages, and deposits. Thank you for understanding and respecting my time and work.Packages & Credits: Packages are non-refundable and non-transferable. Unused services do not carry cash value. Please schedule appointments mindfully, as missed or late-canceled sessions may be forfeited.

By signing this form, I acknowledge that I have read and agree to the studio’s booking, cancellation, and deposit policies.

Date

Signature