Thank you for choosing Evolvedbyelle! To ensure the best possible service and to accommodate any special needs, please complete the following form. All information is confidential and will only be used for service-related purposes.

•Lash Extensions
•Brow Lamination
•Facial/ chemical peel
•Waxing (Please specify areas):__________

1. Do you have any allergies (especially to makeup, adhesives, or waxes)? Yes____ No___

2. Are you currently using any medications, topical treatments, or skin care products that may affect your skin or hair? Yes___ No____

3. Do you have any of the following conditions?

• Sensitive skin

•Contact lens wearer
•Skin irritation or rashes

•Autoimmune conditions
•Eye infections or conditions Other (please specify) 

Do you have any history of eye, skin, or hair infections?

If yes, please explain! 

*For waxing clients: Do you have any history of ingrown hairs or sensitivity to waxing? Yes___No___

Lash Extension Clients (If Applicable):

1. Have you had lash extensions before?

2. What kind of lash look are you interested in?

3. Do you wear contact lenses?

4. Do you have any concerns regarding your lashes or eyes?

Brow Lamination Clients (If Applicable):

1. Do you have naturally curly or unruly brows?

2. Do you have any previous brow tinting or lamination experience?

Facial & Chemical Peel Clients (If Applicable):

1. Have you had a professional facial before?

2. What skin concerns are you looking to address? Uneven skin tone, Sensitivity, Other (please specify): Acne, Dullness, Dryness, Aging.

3. Are you currently using any active skincare ingredients? (e.g., Retinol, Vitamin C, AHAs, BHAs)

4. Do you have any sensitivity to scents, oils, or certain skincare ingredients?

5. Do you have a history of cold sores or herpes simplex virus? 

1. Have you had a chemical peel before?

2. What skin concerns are you hoping to treat with a chemical peel? Uneven skin, Acne, Fine lines & wrinkles, Hyperpigmentation (dark spots) Sun damage, texture.

 3. Do you have any known skin conditions that may affect your ability to tolerate a chemical peel (e.g., eczema, rosacea, psoriasis)?

4. Are you currently using any prescription or over-the-counter medications like Accutane, Retin- A, or antibiotics?

5. Do you have a history of scarring or keloid formation?

6. Do you have any history of cold sores or herpes simplex virus? No Yes

By signing below, I acknowledge and agree to the following: I have provided accurate information to the best of my knowledge. I understand that results may vary and that Evolvedbyelle will not be held responsible for any allergic reactions, irritation, or issues related to the services provided. I agree to follow all aftercare instructions provided to maintain the health and longevity of the service. I consent to the use of photographs for marketing purposes. *please let me know if you are not comfortable with photos before/during/after the service*