Features Pricing Templates Showcase Claude New

Features Pricing Templates Showcase Log in Sign up free

Home / Templates/ Salon & spa/ Lash Intake and Consent Form

Lash Intake and Consent Form

Gather everything you need before a lash extension appointment: past experiences with adhesives, glasses, contacts, eye drops, pregnancy, recent surgery and eye conditions. Clients can also note music preferences and sign their consent.

Use this template

Already have an account? Log in

In the Claude connectors directory

Page 1

Name*

First Name

Last Name

Phone Number*

Email*

What kind of music would you like during your service?

First Name

Signature

Sign here

Page 2

Have you had eyelash extensions before?*

Yes No Lash lift only

If so, what were your past experiences and any reactions to adhesives?

Do you wear glasses?*

Yes No

Do you wear contacts?*

Yes No

Do you use any eye drops (prescription or over the counter)?*

Yes No

Relating to the eyes, tick all that apply:

Dry eyes Allergies Conjunctivitis Blepharitis Recent eye surgery Sensitive skin None

Are you currently pregnant?*

Yes No

Have you had any surgery in the last 6 months?*

Yes No

Do you deal with any of the following? Tick all that apply.

Claustrophobia Back pain Anxiety Chemotherapy Thyroid condition None

If you answered yes to any of the above, how can I accommodate you during the service?

Is there anything else you'd like me to know before your appointment?

Consent statement

Signature

Sign here

Related templates

Invisible Bead Extension Consultation Salon & spa IT Service Desk Device Booking-In Form IT IV Sedation Medical History Healthcare IV Therapy Intake Healthcare

Browse all intake templates →

Powerful online forms — builder, logic, products, and teams — at a price that makes sense.

✓ In the Claude connectors directory

Product

Features
Pricing
Compare
Alternatives
Templates
Claude
MCP tools
API
GitHub

Company

Press room
Brand kit
Contact

Legal

Security
Service status
Terms of service
Privacy policy
Cookie policy

Rejoining the server...

Rejoin failed... trying again in seconds.

Failed to rejoin.
Please retry or reload the page.

The session has been paused by the server.

Failed to resume the session.
Please retry or reload the page.