SPRAY TAN CLIENT INTAKE FORM
Please answer the following questions so I can better serve your needs at your appointment.
Name
*
First Name
Last Name
HAVE YOU HAD A SPRAY TAN BEFORE? IF YES, PLEASE SPECIFY WHEN YOU HAD YOUR LAST SPRAY TAN AND IF IT WAS AN ARTIST OR BOOTH.
*
IF ANSWERED YES ABOVE, ANY ISSUES WITH PREVIOUS SPRAY TAN?
ARE YOU TANNING FOR AN EVENT OR JUST FOR FUN? IF SO, PLEASE LIST:
*
CURRENT SKIN TYPE?
*
Dry (Hydration spray recommended)
Oily
Combo
CURRENT SKIN TONE?
*
Light
Medium
Deep
HOW WOULD YOU CLASSIFY YOUR SKINS UNDERTONE?
*
Cool (Reddish Skin)
Neutral (Olive Skin)
Warm (Yellowish Skin)
Unsure
IF YOU WERE OUT IN THE SUN FOR 1 HOUR WITH NO SUNSCREEN, HOW WOULD YOUR SKIN REACT?
*
Type 1: severely burn/cannot achieve tan
Type 2: lightly burn/cannot achieve tan
Type 3: light burn/develop tan later
Type 4: sometimes burn/always tan
Type 5: no burn/always tan
Type 6: never burned/develop deep dark tan
PLEASE LIST ANY SKIN ALLERGIES I SHOULD BE AWARE OF:
DO YOU OR HAVE YOU EVER HAD ANY SKIN CONDITIONS OR DISEASES? (ECZEMA, PSORIASIS, ROSACEA, HYPERHYDROSIS, ETC) IF SO, PLEASE EXPLAIN
ARE YOU CURRENTLY PREGNANT OR BREASTFEEDING? (SPRAY TANS ARE PREGNANCY SAFE BUT PLEASE CONSULT YOUR DOCTOR PRIOR).
*
I am pregnant
I am breastfeeding
I am both
I am neither
HAVE YOU HAD A SUNBURN IN THE LAST TWO WEEKS? A RECENT SUNBURN WILL SEVERELY AND ADVERSELY ALTER THE RESULTS OF YOUR SPRAY TAN! (PLEASE WAIT UNTIL YOUR SKIN IS COMPLETELY DONE PEELING OFF TO GET A SPRAY TAN).
*
Yes
No
ARE YOU USING ANY OF THE FOLLOWING?
Tretinoin, ,
Accutane
Rx topical acne cream
HOW DID YOU FIND JACLYN NICOLE AESTHETICS?
*
Referral
Instagram
Facebook
Google Search
Isle of Influence
Other
IF REFERRAL, PLEASE GIVE THEIR NAME FOR A SHOUT OUT :)
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