Consultation Form
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Date of Appointment
-
Month
-
Day
Year
Date
Please share a current makeup and filter-free selfie so I can see your current skin tone and undertone for the perfect custom glow.
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of
Natural skin color:
Very fair
Fair
Light olive
Medium
Dark olive
Deep brown
How does your skin react to sun exposure?
Burns easily
Burns then tans
Tans easily without burning
Freckles or Moles?
Yes
No
Are you currently taking any medications that may affect your skin (e.g., acne meds, steroids, antibiotics)?
Yes
No
Skin conditions (eczema, psoriasis, rosacea, vitiligo):
Open cuts, wounds, or rashes?
Yes
No
Pregnant or breastfeeding?
Yes
No
Recent sunburn?
Yes
No
Allergic to DHA or tanning products?
Yes
No
Spray tan/self-tanner in last 2 weeks?
Yes
No
Recent exfoliation treatments? (waxing, sugaring, dermaplaning, facials):
Recently used Retinol, Accutane, or prescription skin products?
Yes
No
How often do you moisturize your skin?
Desired shade:
Light
Medium
Dark
Ultra Dark
Do you prefer a rapid-rinse solution (rinse in 2–5 hours, based on depth and skin tone) or a standard solution (8+ hours)?
Rapid
Standard
Special event date (if applicable):
Is this your first spray tan?
Yes
No
Would you mind if I used a before-and-after photo (with your face not shown) on my socials? It is completely fine if you’d prefer I didn’t.
Yes
No
I understand the importance of following pre- and post-tan care instructions. (Please initial)
I understand that results may vary depending on my skin type and preparation. (Please initial)
Is there anything else I should know to ensure you get the best possible results?
Date
-
Month
-
Day
Year
Date
Solution Notes (for technician use after your session):
Submit
Should be Empty: