Form
Studio Edun Beauty & Wellness Skin Ritual Questionnaire
Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
What is your Birthday
Email
example@example.com
Would you like to subscribe to our newsletter for specials dates, promos and events?
Yes, keep me in the loop!
No Thank you
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What are your Skin concerns?
If you could wave a magic wand, how would your skin look in one month?
Do you have any special requests for today? (ex. extractions, skin soothing, clearing, hydration, relaxation)
Medical, Health, Bodily Conditions: is there anything I need to know before we get started? The more I now, the better your results. (Please list: allergies, sensitivities, pregnant, nursing, health issues, diabetic,medications, metal plates, cold sores, herpes, Retin A use or any topical products that might cause skin sensitivity).
What did you LOVE about your last facial, and what could you have lived without?
Knowing that home care is a big part of achieving beautiful skin, would you like to chat about how to maintain today's results at the end of your facial?
Yes, give me the scoop on how to look and feel beautiful
No, just here to relax
Anything else you want to share? I love learning about my clients as it helps me provide superior customer service.
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Please read carefully and check the following:
I understand that Studio Edun services including Facial rituals & Reiki healing are for the sole purpose of skin cleansing, body and mind relaxation and rejuvenation.
I understand that it is imperative to tell my Esthetician about any oral or topical medications prior to any facial waxing, or body treatment services.
I understand that Studio Edun and staff do not diagnose illness, disease, or any other physical or mental disorder. I accept full responsibility of the Studio Edun at my own risk and to not hold Studio Edun or staff liable for loss, damage or injury.
I understand that results are personable and not guaranteed.
I confirm that to the best of my knowledge that the answers given on client consultation form are correct and that I have not withheld any information that may be relevant to my treatment at Studio Edun
I understand that I must provide at least 24 hours advance notice for the cancellation of an appointment.
I understand Studio Edun has a strict 24 hour cancellation policy. In the vent of a late cancellation/no show the fee is $50. An invoice will be sent via square. If we are able to replace appointment with a client on wait list we are happy to waive fee.
I understand there are risks associated with skincare treatments. Such as; redness, sensitivity, peeling, inflammation. Any additional concerns I will discuss with my practitioner.
Please note any additional information that may be of importance to your Esthetician regarding the Studio Edun treatment you will be recieving:
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Date
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