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  • Consultation Form

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    Safi abd rahman
    28 views2 pages
    This document is a client consultation profile containing personal information, skincare profile, and after treatment record sections. It collects a client's name, contact details, date of birth, occupation, skin type, conditions, current skincare routine and brands used. It also includes a timetable to schedule follow up calls and visits 2 days, 2 weeks and 2 months after a facial treatment to record results and check for any allergic reactions or health issues. The client needs to agree to the recommended treatment by signing and dating the document.

    Original Description:

    Facial Consultation form

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    This document is a client consultation profile containing personal information, skincare profile, and after treatment record sections. It collects a client's name, contact details, date of birth, occupation, skin type, conditions, current skincare routine and brands used. It also includes a timetable to schedule follow up calls and visits 2 days, 2 weeks and 2 months after a facial treatment to record results and check for any allergic reactions or health issues. The client needs to agree to the recommended treatment by signing and dating the document.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    28 views2 pages

    Consultation Form

    Uploaded by

    Safi abd rahman
    This document is a client consultation profile containing personal information, skincare profile, and after treatment record sections. It collects a client's name, contact details, date of birth, occupation, skin type, conditions, current skincare routine and brands used. It also includes a timetable to schedule follow up calls and visits 2 days, 2 weeks and 2 months after a facial treatment to record results and check for any allergic reactions or health issues. The client needs to agree to the recommended treatment by signing and dating the document.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    of 2

    Client Consultation Profile

    Part A : Personal Beauty Profile

    Personal Information

    Name : _______________________________________ Date : ____________________

    Phone : _______________________________________ Birthday :__________________

    Email Address : ____________________________________________________________

    Occupation : __________________________ Referred Name : ____________________

    I am interested in :
    o Skincare know-how o Makeup techniques o Body care
    o Latest trendy products o Business opportunity o Treatment Hair / Face / Body

    Skincare Profile

    1. My skin type is
    o Dry o Normal o Oil o Combination

    2. My skin condition is
    o Acne o Sensitive o Aging o Pigmentation

    3. My current skincare routine consist of products below


    o Cleanser o Toner o Eyecare
    o Moisturizer o Mask o Other special care
    ____________________
    I am currently using mainly ______________________ brand skin care

    Part B : After Treatment Record

    Time table Date Records Referral


    - make a call 2 days after the
    Facial session
    - pay a visit 2 weeks after the
    Facial session
    - pay a visit 2 months after the
    Facial session
    ‘Remarks On Allergic / Health Issue :

    ……………………………………………………………………………………………………

    I hereby agreed that I can proceed to the treatment recommended

    ………………………………………………………… Date :

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