BEAULOOM CLIENT INTAKE FORM

Client name:
Preferred contact:
Appointment date:
Service requested:

LOOK + GOALS
- What result are you hoping for today?
- Do you have inspiration photos or references?
- Are there any areas you want me to focus on or avoid?

HEALTH + SENSITIVITY NOTES
- Allergies or sensitivities:
- Skin conditions or recent treatments:
- Product ingredients to avoid:

PREP + AFTERCARE
- Current routine:
- Recommended prep before appointment:
- Recommended aftercare notes:

CONSENT
I confirm that the information above is accurate to the best of my knowledge.

Client signature:
Date: