Facial Mood Form
Everyone likes to experience their facial differently. These questions will help me give me an idea of how you’re feeling about your upcoming appointment. You will fill out a new one every time you come in, so don’t worry if you’d like to change your answer in the future. Thanks so much!
Name
First Name
Last Name
1) I am okay with my aesthetician taking progress photos/video:
*
Yes
No
2) Do you have any allergies/skin conditions/health conditions that I should be aware of?
*
3) What type of music do you prefer to listen to during your treatment?(relaxation spa music/guided meditation/upbeat/todays hit's etc.)
*
4) I would prefer my Aesthetician:
*
Educates/talks me through the service
Does not talk during service- I would like to relax
Quietly tells me what's next in the service
5) Would you like to include any of the following add-on's in your treatment today?
Dermaplaning Add-on ($25)
HydroJelly Mask Add-On ($25)
LED Light Therapy Add-on ($20 per/$20 mins)
Brow Wax Add-on ($22)
Lip Wax ($10)
6) If my treatment will includes a Hydro-Jelly mask would I would like for it to:
*
Cover my eyes & lips
Leave my eyes uncovered
Leave my lips uncovered
7) What are your skin goals for this treatment?
*
8) Any products you need to stock up on while you’re here?:
*
9) Have you used any retinols, steroid creams, prescribed ointments, or exfoliants in the last 48 hours?:
*
Anything else you'd like me to know?
*
Submit
Should be Empty: