• Anna Marie Lashes: Client Evaluation Form

    By filling out this form, your tech will be able to customize your lashing experience to better suit you, and assist in creating an aftercare plan for your lifestyle. All information will be kept through Client & Tech Confidentiality.

  • All fields marked with * are required and must be filled.

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  • Lash History & Cosmetic Irritation/Allergy Risks

    With the following information, your tech will be able to evaluate your overall risk of potentialirritation towards your chosen service and take extra precautions.
  • Have you ever had eyelashes extensions before? *
  • If you received eyelash extensions before, how often do you get them done?
  • Health History | Please check any of the following that applies to you *

  • Have you ever had a reaction to adhesive tape, topical creams, nail adhesives, or other topical products? *

  • Eye Care & Eye Health

    As much as we'd LOVE to make you extra gorgeous here at Anna Marie Lashes, your eyecare and health still come first.
  • Do you wear glasses? *
  • If yes, how often do you wear them?
  • Do you wear contact lenses? *

  • If yes, please arrive to your appointment without your contacts. If you need to wear them to your
    appointment, please be prepared to remove them prior to your procedure. It is suggested to not
    wear your contacts immediately after your appointment.

  • Do you use eye drops?*
  • How often do you use eye drops?
  • Please agree to the terms and conditions *
  • Date
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    2 digit month, 2 digit day, 4 digit year
  • Should be Empty: