Form

Client Pre-Screen Questionnaire



Services Interested In
(Check all that apply)
• ☐ Lash Extensions
• ☐ Hair Extensions
• ☐ Both

Previous Experience
Have you ever had lash or hair extensions before?
• ☐ Yes
• ☐ No

If yes, what type and where? _____________________________

Desired Look
Describe your ideal lash or hair extension style (e.g., natural, dramatic, voluminous):

Maintenance Commitment
Are you willing to commit to regular maintenance (e.g., lash fills, hair extension upkeep)?
• ☐ Yes
• ☐ No

Availability
What is your preferred day/time for appointments?
• Day: _____________________________
• Time: ____________________________

Health or Allergies
Do you have any allergies or sensitivities to adhesives, glues, or hair products?
• ☐ Yes
• ☐ No

If yes, please explain: _________________________________

Budget
Do you have a budget in mind for this service?
• ☐ $100–$200
• ☐ $200–$400
• ☐ $400+
• ☐ No specific budget, interested in quality results

Salon or Mobile Services
Are you open to visiting the salon, or do you prefer mobile services (if offered)?
• ☐ Salon Services
• ☐ Mobile Services

Additional Information
Is there anything else you’d like to share about your preferences or concerns?

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