CLIENT CONSULTATION CARD

Date:
Client’s Name:
Address:

____________________________

Birthday:
Telephone:   (         )                                 h w c
Alternate Ph: (         )                                 h w c
Spouse's Name:
Children's Names:
_________________________________

CLIENT PROFILE

HANDS & NAILS

Occupation:

Skin Type:     Dry / Normal / Sensitive

Hobbies:

Cuticle:  Normal / Dry / Excessive

Sports:

Nail Length:  Short / Medium / Long

Referred by:

Condition:  Normal / Nail Biter / Damaged / Dry

MEDICAL HISTORY

DOCTOR

Diabetic / Asthmatic:     Yes / No

Doctor’s Name:

Hypersensitive Skin:       Yes / No

Address:

Contact Lens Wearer:    Yes / No

Allergies: 

Telephone No.:

CLIENT’S EXPECTATIONS

TREATMENT/RECOMMENDATIONS

Nail Length:  Short/Medium/Long

System:  Acrylic / Gel / Fiberglass/

Nail Shape:  Round/Oval/Square/Squoval

Nail Length:  Short / Medium / Long

Polish Shades Preferred:

Nail Shape:  Round / Oval / Square / Squoval

AFTERCARE PLAN

Recommendations:

Maintenance Frequency:
1 week     1 ½ weeks
2 weeks   2 ½ weeks
3 weeks   3 ½ weeks

RETAIL ITEMS:
Date:   

Favorite Polish:

Favorite Service:

Other:

NAPR --
Non-Acetone Polish Remover
TC -- Top Coat
CO -- Cuticle Oil
Other

I have freely disclosed this information and have accepted and received the aftercare plan. I also agree to give a 24 hour notice for cancelled appointments.

Client’s Signature

Nail Tech’s Signature