Spray Tanning

Spray Tanning

Consultation Form
a

firsLast Name
Email
example@example.coam
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number

Area CodePhone Number
Have you shaved/waxed in the last 24 hours?

YesNo
Have you had a patch test?

YesNo
If not please confirm you are happy to proceed with your treatment

Yes, I am happy to proceedNo, I will reschedule
Have you had any surgery or medical treatment in the last 12 months?
Do you suffer with any respiratory problems?

YesNo
Are you pregnant or breastfeeding?

YesNo
Do you have any skin or pigmentation disorders?

YesNo
Is your skin hypersensitive?

YesNo
Have you known any allergies?

YesNo
Have you any open cuts/wounds/rashes?

YesNo
Have you recently had any body piercings or tattoos?

YesNo
Do you wear contact lenses?

YesNo
Have you had any recent Botox or fillers?

YesNo
Do you have bleached hair?

YesNo
Have you applied deodorant or moisturiser today?

YesNo
Have you brought loose dark clothing for your tan?

YesNo
Is the tan for a special occasion?

YesNo
What was your experience with self tanners?
Have you had a spray tan or used tanning products before?

YesNo
What tan would you like to achieve?
How well do you tan in the Sun?
Any questions?
Disclaimer: I declare that I have read, understand and answered the questions to the best of my knowledge. I have no known medical conditions or allergies that may affect or induce a harmful reaction from a sunless tanning treatment. The information above is for the technicians records only and will not be misused or passed on to any other third-parties.
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