delightful nails
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Consultation-form
Fun
Name
*
Address
*
*
*
Postcode
*
Telephone number
*
Emergency contact
*
Occupation
Sports & hobbies
Medical Information
diabetes or breathing problems
*
yes
no
sensitive
*
yes
no
use of contact lenses
*
yes
no
Allergic Reactions
*
yes
no
Known medical conditions
yes
no
Medical treatments
*
yes
no
if the answer is yes to any of the above questions please give details
The treatment
Treatment
*
eg: gel tips, nail art etc
Reasons for treatment
eg: wedding, party, night out, for every day use etc
client preferences
Shape of nails
*
round
square
stilletto
other
Size of nails
*
long
medium
short
other
prefered nail polishes or colours
prefered nail art
prefered extension system (acrylic or gel etc)
Professional recomendations (to be completed by/with nail technician)
Regular appointment period
Recomended home care
First appointment date and time
Professional comments
Clients signature and date
Nail tecnicians signature and date
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