New Skincare Client
Must be completed before appointment or wait list
Do you want to receive our email updates for news and seasonal specials? (It's not spammy or shared with anyone)
How did you hear about Inner Glow? (provide name if a person referred you)
Allergies? (include any foods, fruits, plants, etc)
Check any that apply to you:
Cancer (current or survivor)
Blood clots or thinners
Has metal implants, bone screws, pace maker, similar
Recent peel, laser, injections, cosmetic procedure
Gets hot easy
Gets cold easy
Restless leg syndrome
Using a prescription for skin, acne, anti-aging
Use tanning bed or lay in the sun to tan
Use face SPF daily
At home skin routine includes:
body soap to wash the face
cleanser designed for the face
exfoliation with microbeads or scrubs
exfoliation with acids, AHA, BHA, etc
exfoliation with sponge, brush, or machine
moisturizer designed for the face
body lotion on the face
Have you had professional skin treatments before?
What are your goals for the spa visit?
What massage pressure or feeling do you prefer?
Light (like applying lotion to a baby, great for sensitive guests)
Medium (enough to feel it working but not hurting, feels "melty")
Firm (might hurt and feel good at the same time)
Any areas to be avoided or use caution?
Favorite part of a facial or spa visit:
Aromas you enjoy:
Or specify your favorites:
a local resident
temporarily traveling to Salt Lake
Should be Empty:
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