Creating a new client consultation form

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sarahc

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Joined
Feb 22, 2010
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have just tried to google examples without much success .. currently use the cnd cards, but they're tailored more for enhancements and i only do natural nail services .. would someone kindly point me in the direction of some examples or better still post the sample form so that i can get some ideas how to lay out. many thanks x
 
Try and see what your insurers provide? When i had insurance with BABTAC they had lots of examples of after care policies :)
 
Here is the CRC I created 25 years ago and have used ever since .. suitable for any nail service you may provide. Fell free to add or take away. HTH


[FONT=JS_Optima]NAME OF SALON[/FONT]

[FONT=JS_Optima]Client Name: Date: [/FONT]

[FONT=JS_Optima]Address: [/FONT]

[FONT=JS_Optima]E Mail: ____________________________ Mobile: ­­­­­­__________________________[/FONT]

[FONT=JS_Optima]Tele: No: (Day) (Night) [/FONT]

[FONT=JS_Optima]In order to provide you with the best possible service, please complete the following:[/FONT]

[FONT=JS_Optima]What type of nail service have you had before? [/FONT]

[FONT=JS_Optima]What nail care items do you regularly use at home? [/FONT]

[FONT=JS_Optima]Have you a history of Diabetes, Allergies or any other medical condition we shhould be conscious of?[/FONT]

[FONT=JS_Optima]Are you currently taking any medication? [/FONT]

[FONT=JS_Optima]Are your hands dry, moist or normal? [/FONT]

[FONT=JS_Optima]What nail shape do you prefer? [/FONT]

[FONT=JS_Optima]Do you prefer enamel, natural-look or French? [/FONT]

[FONT=JS_Optima]Do you do sports activities and if so, what? [/FONT]

[FONT=JS_Optima]Do you have children under 5? [/FONT]

[FONT=JS_Optima]How did you hear about our salon? [/FONT]

[FONT=JS_Optima]TO BE COMPLETED BY OUR STAFF ONLY:[/FONT]
[FONT=JS_Optima]Describe the condition of the nail plate at the start of the service [/FONT]

[FONT=JS_Optima]Have you and the client agreed the service to be performed? [/FONT]

[FONT=JS_Optima]If the client has come from another Salon and/or has problems, please ask her to sign the following indemnity.[/FONT]
[FONT=JS_Optima]I acknowledge that due to: (tick)[/FONT]
[FONT=JS_Optima] Application over another product[/FONT]
[FONT=JS_Optima] The prolonged use of “stick-on” nails[/FONT]
[FONT=JS_Optima] The medical condition that I have[/FONT]
[FONT=JS_Optima] The fact that I am a nail biter[/FONT]

[FONT=JS_Optima]I may have complications for which I do not hold [NAME OF SALON] responsible. I acknowledge that these Enhancements should be rebalanced every 2-3 weeks or professionally removed at a Salon. These Enhancements are not guaranteed and are my sole responsibility once I leave the Salon. Any breakages or repairs must be paid for. [/FONT]
[FONT=JS_Optima]I am not knowingly suffering from any transferable disease or infection.[/FONT]
[FONT=JS_Optima]Date: [/FONT]
[FONT=JS_Optima]Signed: [/FONT]
 
I have today made this form up - wondered if you could let me know if it is ok or not. I have used a combination of what I was told on my course and what I have found on here (thanks). It will be for manicures and pedicures, shellac and minx (not enhancements as yet)

The first part if for initial consultation and then on the back there will be continuation parts for further appointments

thanks xx




THERAPIST DATE/TIME
Name

Address




Telephone number

Age

Occupation/lifestyle which can affect nail aftercare




Any particular nail problems?






DO YOU/HAVE YOU SUFFERED (Y=yes N=no)

Cancer

Heart disease/stroke/haemorrhage

Diabetes

High/low blood pressure/blood clots

Epilepsy

Taking life maintaining medication

Recent operations

Recent fractures/sprains

Nail infections/disease

Nail fungal infections

Skin infections/disease

Arthritis

Allergies

Local raised moles/warts/scars/cuts

Bruising/swelling

Lack of sensation

Are you pregnant

Are you taking any medication







If any of the above apply please supply more information here









Do you normally use professional nail services?

Which service/treatments do you normally have?




Do you like your nails to be long, mid length or short?




Do you do nail treatments at home yourself?

Which treatments do you do at home?




What shape do you like your nail to be?






TREATMENT TODAY

SERVICE/TREATMENT TYPE





PRODUCT DETAILS





PRICE

SPECIAL NOTES/CONSIDERATIONS






To be completed after the service is complete

SERVICE/TREATMENT OUTCOME




IS THE CUSTOMER HAPPY WITH THEIR SERVICE?



NOTES REGARDING THE SERVICE




AFTERCARE SHEET GIVEN AND EXPLAINED?

DATE/TIME OF NEXT APPOINTMENT


Customers signature ………………………………………………


I confirm that I am over 16 years of age and all information provided is given to the best of my knowledge. I consent to receiving the service/treatment as outlined above.


CLIENT SIGNATURE ……………………………………………… DATE …………………………………………


THERAPIST SIGNATURE …………………………………………





THERAPIST DATE/TIME

FEEDBACK FROM LAST SERVICE/TREATMENT




SERVICE/TREATMENT TYPE





PRODUCT DETAILS





PRICE

SPECIAL NOTES/CONSIDERATIONS






To be completed after the service is complete

SERVICE/TREATMENT OUTCOME




IS THE CUSTOMER HAPPY WITH THEIR SERVICE?



NOTES REGARDING THE SERVICE




AFTERCARE SHEET GIVEN AND EXPLAINED?

DATE/TIME OF NEXT APPOINTMENT


Customers signature …………………………………………………

I confirm that there have been no changes in my health or medical record since my last treatment. I consent to receiving the service/treatment as outlined above.

CLIENT SIGNATURE ………………………………………………………………………………. DATE …………………………………………

THERAPIST SIGNATURE ………………………………………………………………………..



THERAPIST DATE/TIME

FEEDBACK SINCE LAST SERVICE/TREATMENT




SERVICE/TREATMENT TYPE





PRODUCT DETAILS





PRICE

SPECIAL NOTES/CONSIDERATIONS




To be completed after the service is complete

SERVICE/TREATMENT OUTCOME




IS THE CUSTOMER HAPPY WITH THEIR SERVICE?



NOTES REGARDING THE SERVICE




AFTERCARE SHEET GIVEN AND EXPLAINED?

DATE/TIME OF NEXT APPOINTMENT


Customers signature …………………………………………………

I confirm that there have been no changes in my health or medical record since my last treatment. I consent to receiving the service/treatment as outlined above.

CLIENT SIGNATURE ………………………………………………………………………………. DATE …………………………………………

THERAPIST SIGNATURE ………………………………………………………………………..
 
oooops its not come out all formatted, but is a list!! Silly me for thinking it would!! Well the information is the same its just its a very long list!!

In its formatted form the initial form is on A4 side and with the contuation forms there are two on each A4 side (so A5 each)

Sorry xx
 
I have two xxx
 

Attachments

  • Client Consultation Form.pdf
    61.4 KB · Views: 322
  • ClientConsultation.pdf
    80.5 KB · Views: 235
Will be creating one doon. Thanks for providing the example above.
 

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