Personal Details
Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Date of Birth
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Emergency Contact Name & Number
Your Natural Nails
How would you best describe your natural nails?
Strong
Flexible
Soft
Thin
Brittle
Peeling
Dry
Oily
Unsure
Do your nails currently?
Split
Peel
Break easily
Bend easily
Grow well
Feel weak
Have ridges
Have discolouration
None of the above
Are you experiencing any of the following?
Sore & inflamed skin around the nails
Cuts or Broken skin
Swelling
Itching
Redness
Nail separation
Green or yellow discolouration
Changes to the nail that your unsure about
None
Is there anything about your nails that concerns you?
Nail History
Do you currently have anything on your nails? If yes, please specify here
How often do you normally have your nails done?
Have you previously experienced any of the following with nail products? If so, please specify here. E.g. lifting, breaking etc.
Have you ever experienced a reaction or suspected allergy to nail products?
Yes
No
Unsure
Your Lifestyle
Your lifestyle can have a big impact on your nails and how well your manicure lasts.
What best describes your day-to-day lifestyle?
Are your regularly exposed to water, chemicals or gardening etc? If so, please specify
Do you bite or pick the skin around your nails?
Yes
No
Do you play any sports, instruments or have hobbies that put pressure on your nails?
Yes
No
Nail Goals
What is your goals when it comes to your nails?
The Small Print
Photos - I may occasionally take photos or short videos during your appointment and of your finished nails. Please note: No audio will be shared unless agreed prior to filming. Are you happy for images of your nails/hands to be used on The Nail Shed social media and marketing?
Yes
No
Are you comfortable with my small dog being present during your appointment?
Yes
No
How did you hear about The Nail Shed?
Client Confirmation: I confirm that the information I have provided is correct to the best of my knowledge. I understand that I should inform The Nail Shed of any changes to my health, allergies, medication or nail condition that may affect future appointments. I understand that if there is anything present that makes it unsafe or unsuitable to continue with a nail service, my appointment may need to be adapted, postponed or I may be advised to seek appropriate medical advice before treatment.
Yes
No
Submit
Should be Empty: