Form

Name

First NameLast Name

Email

example@example.com

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Do you like to chat with me or have a silent reservation!

what type of music would you like to listen to during Your reservation

During your visit for the humidifier diffuser which do you prefer?

How did you hear about habibi esthetics?

If you selected ‘Referred,’ please list the name of the person who referred you.

Is there anything you would like me to know about you?

Do you have any questions I can answer for you?

Please file an upload of your desired look!

Have you had lash extensions before?

If yes, when was your last full set or fill?

Are you getting your lashes done for a special occasion? (Please list if it’s for an occasion or everyday beauty)

What type of look are you hoping for?

Please enter your Instagram handle. If you don’t have Instagram, you may enter another social media handle (Facebook, TikTok, etc.).

I confirm that I have answered all questions on this form honestly and to the best of my knowledge. I understand that providing inaccurate or incomplete information may affect my lash service (Signature must be signed)