Client Consultation Form ♡

Client Name

First NameLast Name

Is there a nickname you'd prefer to go by?

What're your pronouns?

Other

Email

example@example.com

Phone Number

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

Occupation

What service would you like?

Any current health conditions?

Any nail conditions?

What's your cuticle condition?

Any cuts or wounds on your hands?

Do you have any allergies?

If so, what allergies do you have?

Have you undergone any surgical procedure(s)?

Do you take care of your hands? If so, what products are you using to do so?

Do you wear gloves when gardening, washing the dishes or when cleaning the house?

What're your hobbies?

How often do you go to a nail salon?

Are you preparing for a special occasion?

What date and time would you like? (Subject to change!)

I'm available Mon-Fri 5-8PM.

Hour MinutesAM/PM Option

Is there anything you'd like me to know about especially before your service? (Concerns, nail art ideas, shapes, etc.)

Upload any nail inspo you might have if not already described above!

Must be appropriate and als

By signing below, I confirm that all information I entered in this form is accurate and true. I authorize Nails by Alexis G to perform nail care service to my hands and/or feet.

I acknowledge and completed the health and skin checker, efficiency, and accuracy.

If I experience any pain or discomfort during the session, I will immediately inform the nail technician so that the products and/or technique may be adjusted to my level of comfort.

I understand that nail technicians are not qualified to perform, diagnose, prescribe, or treat any physical or mental illness, and that nothing said in the course of the session given should be construed as such.

I agree to keep the nail technician updated as to any changes in my medical profile during the session and understand that there shall be no liability on the nail technicians part should I fail to do so.

I understand that any illicit or sexually suggestive remarks or advances made by me will result in immediate termination of the session.

The services offered are not substitute for medical care, and any information provided by the therapist is for educational purposes only and not diagnostically prescriptive in future.

I agree to all the terms indicated in this document AND are also fully aware that Nails by Alexis G is a student.*

Signature

Date Signed

Date