Client Consultation Form
Please answer each question as best as you can 🤞🏾
Name
*
First Name
Last Name
Date of Birth (For a fun gift every year)
*
Phone Number
Format: (000) 000-0000.
How did you hear about Hip Nailz?
*
Website / Online Search
Friend
Facebook
Instagram
Other
If friend, please list name
What are your nail/skin care goals?
*
Long term goals
What are your nail/skin care challenges?
*
Dry cuticles
Bitten nails
Damaged nail beds
Curved nails
Thin nails
Dry skin
Oily skin/nail beds
Average visits to a salon:
*
every 2 weeks
Every 3 weeks
Every month
Once a year
Do you wash your hands with gloves? Explain why or why not
How often do you soak off your nail enhancements?
*
Never, I like pain
Always
Sometimes
Are your okay with me deciding your style if I think the set will look amazing?
*
Yes
Not yet
Are you currently taking any prescriptions, vitamins, or hormones? If yes please list the items that may effect your service today.
No
Yes
Other
Have you ever experienced allergic reaction while at the nail salon?
No
Yes
Do you presently have any damage on your nails?
*
No
Yes
Not sure
Would you prefer a hand massage at the end of your service?
*
No
Yes
Will you recommend my services to your friends and family?
*
Please feel free to go into more details you may want to tell your stylist
Signature
*
Submit
Should be Empty: