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Client Intake Form
Lavish Looks by Bre LLC
Full Name
*
First Name
Last Name
Appointment Date
*
-
Month
-
Day
Year
Date
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Birthday Day (for promotions)
-
Month
-
Day
Year
Date
How often do you wear makeup?
*
I have an everyday look!
Special Occasions mostly
This is my first time!
Almost NEVER
Skin Type
*
Oily
Dry
Normal
Combination (Oily & Normal/Dry)
Aging
Skin Concerns
*
Acne
Dark Spots
Sensitive Skin
Aging Skin
Large Pores
Dark Circles
Eye Bags
Redness
Skin Texture
Under Eye Wrinkles
Forehead Wrinkles
Are you wearing contacts?
*
Yes
No
Are your eyes sensitive or typically water?
*
Yes
No
What’s the occasion?
*
What appointment(s) are you receiving today?
*
Makeup Application.
1-on-1 Personal Makeup Class.
Does Lavish Looks by Bre LLC have permission to record, take photographs, and/or post these images on social media platforms?
*
Yes
No
Other
If "Other" was chosen on the last question, please elaborate.
What is included in your daily skin care routine?
*
Cleanser
Moisturizer
Toner
Serum
Exfoliator
SPF above 30
Can you list those skin care products here:
Do you have any allergies (foods, cosmetics, materials, etc.)? List them here:
*
Are there any colors, products, or makeup application steps you don't want the artist to perform today? List them below.
Are you comfortable with strip lashes being applied today?
*
Yes.
No.
Maybe, let's see which ones you have.
Mascara only, please.
Are you familiar with how to touch-up your makeup throughout your wear?
*
Yes
No
Did you provide the artist with pictures of the look you wanted to recreate?
*
Yes
No
I would like to see some options for my occasion.
The artist can create a look based on my needs.
Is there anything you want the artist to know?
I
First Name
Last Name
acknowledge that I have filled out all the information in this document to the best of my knowledge. I understand that Within Cosmetics LLC. is not responsible for any allergic reactions due to any service provide.
Signature
Let's do some makeup!
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