Cover-Up Consultation Questionnaire
Use this form for any cover-up tattoo consultation inquiry, please see website for Consultation Forms for Pet Portraits, Celebrations & Memorial, General, and Large-Scale tattoos. Feel free to save this form along the way to gather your ideas and photo references before you submit.
Name
*
Pronouns
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Best phone number to reach you regarding scheduling?
*
cell phone, home, etc.
Format: (000) 000-0000.
Email Address
*
example@example.com
Birthdate
*
/
Month
/
Day
Year
Date Picker Icon
Occupation
*
Mad Scientist? Cat herder? Mini submarine designer?
Preferred Days of the week for appointments? (Please keep in mind, everyone always wants Saturdays, so being flexible helps)
*
Tuesday
Wednesday
Thursday
Friday
Saturday
Best time of day to reach you?
*
Morning (9am-noon)
Afternoon (noon-4pm)
Early evening (4pm-7pm)
Evening (7pm-9pm)
Please list any allergies?
*
cats, dogs, gluten, rude people etc.
What's your favorite ice cream flavor?
*
Super important for me to know
Pirate or Cowboy?
*
Pirate
Cowboy
How did you hear about me?
*
Name dropping is acceptable :-)
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Existing Tattoo Details
Tell me more!
Where is your existing tattoo Located
*
Left Arm
Right Arm
Left Leg
Right Leg
Full Sleeve
Half Sleeve
Full Back
Part of Back
Body suit
Chest/Front Torso
Thigh
Lower leg
Ribs/Stomach
Single Point
Other
Style of your existing tattoo
*
Color
Black and Gray
Illustrated
Realistic
American Traditional
Asian inspired
Mix of styles
Not sure yet? (its ok, I can help you with that)
Other
Size of existing tattoo
*
Be Specific, measure LxW in inches, half sleeve?
How old is your existing tattoo?
*
1 years, 5 years?
How much sun exposure does your existing tattoo have?
*
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Style you had in mind for your cover up?
*
Color
Black and Gray
Illustrated
Realistic
American Traditional
Asian inspired
Mix of styles
Not sure yet? (its ok, I can help you with that)
Other
Scars or marks that you want covered?
*
Marks that aren't part of your existing tattoo
Do you have plans to build off your tattoo in the future? Please describe....
*
Even if you aren't sure, please think long term and consider if you will be adding to this tattoo later or be blending this into another part of your body… This is helpful for both of us to complete the tattoo in a way to ensure it will be easy to continue with later on… Never say never!! Will you turn your half sleeve into a full sleeve? Will you ever add anything to your back after getting something on your shoulder?
Any laser treatments?
*
Yes
No
Overall area to be used in coverup?
*
Full sleeve! Half sleeve? Must be minimum of 3x large than existing tattoo. Try to be specific.
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Tattoo Description
Please write a brief description of what you have in mind for your next tattoo.. This is what you want to see subject matter wise, anything specific that you would love to see.. This can be a brainstorm list of different elements you want to use but don't know how to put together or an overall description of the specifics.. (roses and skulls, birds, gypsy lady head, statues, flowers, anchors, cats, things that make you happy, etc.) At the end of this form you will be asked to upload 5 reference photos of images you like.. These are required.. I am a visual person and these really help me make sure I fully understand your likes and preferences.. These can be tattoos I have done previously or general images of subject matters you like.. Additional references can be emailed or brought with you to the in-person consult.. For now, please just send the required 5 photos
3-5 Different themes for cover up tattoo.
*
May pull options for one or more-good to have general options when unsure or too many ideas.
Have any things you absolutely don't want?
*
Don't just slap some roses over it!
Now for the fun part! What do you want to get tattooed!?!?!
*
Please write a brief description of what you have in mind for your next tattoo.. This is what you are inspired by, want to see subject matter wise, and anything specific that you would love to see.
What are the main subject(s) (must haves) you want in tattoo?
*
This is your main focus of the tattoo. Ex: Goddess, animal, pirate ship, etc.
Supporting elements?
*
Additional subject matter that you'd love to see, but won't be heart broken if it doesn't make it into the final design. This can be a general list of items, don't limit yourself.
Background elements?
*
elements/environment in the background supporting subject matter
Is there a particular "feel" or over all "mood" that you want your tattoo to have once it is completed?
*
This is not referring to style (black & gray, color, traditional, etc.), more in reference to over all vibe when viewed.. Does it feel peaceful? Curious? Dark and mysterious? Silly? THIS IS NOT REQUIRED
Thank You!
Thanks!! I really appreciate you taking the time to fill this out.. I know this seems like a lot just to book a tattoo consultation but it really does help save time now and later once we get into the consultation and tattooing process.. Just a few more details to go!!! Now to Upload those reference photos I mentioned earlier..........
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Existing Tattoo Photo
*
Upload a File
Drag and drop files here
Choose a file
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Reference Photo #1
*
Upload a File
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Reference Photo #2
*
Upload a File
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Choose a file
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of
Reference Photo #3
*
Upload a File
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Choose a file
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of
Reference Photo #4
*
Upload a File
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Choose a file
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of
Reference Photo #5
*
Upload a File
Drag and drop files here
Choose a file
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of
Photo of existing tattoo
*
Upload a File
Drag and drop files here
Choose a file
Please upload a photo of your pre-existing tattoo for either cover up purposes or for me to take glance at what I might need to work around.
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Before submitting form please read and acknowledge information below. Submitting this form does not guarantee you a consultation appointment.
-I acknowledge and understand that all consultations require a $300 non-refundable consultation fee. If we proceed with your tattoo at the end of the consultation, this $300 deposit will be applied towards the $600 retainer to be placed on the waitlist, and the remaining $300 will be due at the end of the consultation. If we don’t proceed with scheduling your tattoo this fee covers the time spent with you, working out your ideas, in addition my time, expertise, and advice. -Cancelation or reschedule policy - If you need to reschedule please give 7 days notice if needed or you will forfeit your deposit. Last-minute emergencies are understandable and must be communicated prior to the appointment by e-mail. A cancelation will constitute a forfeiture of the consultation fee and be applied towards my time.
*
By checking this I acknowledge that I have read the above information and understand that submitting this form does not guarantee me a consultation and understand all fees and cancellation/rescheduling policies.
Thank you for taking the time to fill this out, I will reach back out to you once I am able to sit down to look through your ideas and process your requests. I will do my best to get back to you within 2 weeks, please check your Spam folder if you don't receive a response before then.
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