Kristy Lynn Nails Digital Consultation Form

Guest Profile and Digital Consultation Form

Fill out this form so that you can book your first appointment and be sure that you receive the best experience possible
Name*

First NameLast Name
Email*
example@example.com
Cell*

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Birthday (mm/dd)*
Occupation
How did you hear about me?*
Referred By:
You and this guest will receive a referral reward
When may be the best time to schedule your appointments?
Acrylic SetNail DesignsPedicureDip Powder SetGel Polish ManicureOther
Health History

All nail services are performed safely and in a manner which is not detrimental to your health.
The following is to provide the information needed to ensure that you get the best possible services with no risk to your health and safety. The main goal is for you to have the best possible experience while maintaining healthy, beautiful nails. All services are always performed with proper precautions, with the health and safety of the client being the top priority. Personal information is never shared and is voluntarily disclosed with your safety in mind.

**I am not a medial professional and will at no time offer medical advice, diagnoses, or medical treatment options. Any suggestions offered are suggestions based on my scope of knowledge provided in the training and licensure of nail professionals per the Florida State Board of Cosmetology.
DiabetesVaricose VeinsCommunicable Nail/Skin ConditionArthritisFungal InfectionAutoimmune DiseasePoor CirculationCirculatory or Muscular DiseaseHepatitis A or BNeuropathyCorns/BunionsLumpectomy/MastectomyReceiving ChemotherapyHistory of Blood ClotsNone of the AboveOther
YesNo
List any known allergies or irritants including nail products, food, scents, lotions/oils, medications, plants, etc.*
YesNo
If so, how many weeks?*
YesNo
Please list them below including vitamins and supplements
Nail Care Questions

Helps determine which nail service is best for your lifestyle.
What type of work/activities do you enjoy that may affect which nail services you receive?*
Every 2 weeks. I LIVE for my nail appointment!!Every 2-3 weeks depending on my schedule.If my nails will last, I will go for a month or so between nail appointments.Whenever I can get to the salon. I am super busy and it is hard for me to make appointments that work with my schedule.
YesNo
How do you take care of your hands/nails?*
How do you take care of your feet?*
Are you currently using or applying products to your nails? If yes, please list the name of the products below*
SplittingCrackingPeelingDiscoloration (yellow/white/green)NoneOther
DryInflamedTornCrackedPainful/BleedingNoneOther
How would you describe the current condition of your nails? Would you change anything about your nails?*
YesNo
*You will need to also schedule removal of the gel/dip/acrylic product when booking your apointment.
YesNo
What type of professional nail services have you had in the past?*
Salon Experience

So that you get the most of your visit to the salon.
What outcome are you hoping for from your nail service(s)?*
What expectations do you have for your nail service/salon experieince?*
What type of experience do you prefer?*
YesNo
By signing below, I confirmed that all information I entered in this form is accurate and true. I acknowledge that Kristy Lynn Nails reserves the right to refuse any services that may put my health and safety at risk, or the safety of other clients. I also understand that I am responsible for informing Kristy Lynn Nails of any changes to my health as stated above or any potential public health risk that may arise because of those changes. I further acknowledge, that by signing, I am consenting to manicure/pedicure/nail enhancement services for myself.

I also acknowledge that I have read and agree to Kristy Lynn Nails Policies.
Client Signature*

Clear
Date Signed

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Date
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Guest Profile and Digital Consultation Form

Health History

Nail Care Questions

Salon Experience