To save time before your consultation, simply fill out our Client Consultation Form. We will be

ready for you when you arrive!

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WHY WE ASK WHAT WE ASK:

We want to ensure that you are safe and comfortable for the duration of your treatment.

Some questions are optional, however we ask that you are as transparent as possible.

Name & Surname

Mobile Number *

Email Address *

Date of Appointment

Have you filled out this form below?

Yes

Has anything changed since last time you visited us? Have you started smoking, taking new medication or are you pregnant?

New Client Form

Let's find out a bit more about you, and what you need from your treatment.

What type of treatment are you coming for? *

Skin Care & Facial Treatments

Waxing

General Treatments (Spa Packages, Manicures, Pedicures, Massages etc).

* the form does accommodate those coming for more than one treatment, simply fill in the details from the top down.

What would you like to achieve from your treatment?

Have you had a Facial before? *

Yes

If Yes when?

Do you have any skin conditions we should be aware of?

Yes

If Yes, Please Specify?

Have you ever had an allergic reaction to any skin products?

Yes

If Yes, Please Specify?

What skin areas are you concerned about?

Breakouts / Acne

Blackheads / Whiteheads

Excessive Oil / Shine

None of the above

Please tick the applicable areas of concern:

Please tick if any of the following is applicable to you.

I have used Alpha Hydroxy Acid (AHA) or glycolic products in the past 48-72 hours?

I am using Retin-A, Renova, Accutane or related products.

I am using other skin tightening products and/or medication that thins blood.

I am exposed to the sun/ tanning Beds on a daily basis.

I will be spending more time in the sun soon?

I am a diabetic.

I bruise easily.

None of the above are applicable.

Are you currently taking any medication?

Yes

Which medication are you taking?

Are you only coming for a Skin Care Treatment?

Yes

No, I'm also coming for a wax

No, I'm also coming for another Spa Treatment (Massage, Manicure, Pedicure etc)

WAXING

Please note that waxing can have certain side effects such as skin removal, redness, swelling, tenderness and so forth.

We may ask personal questions as women are more sensitive to waxing just before your period, and skin is also prone to sensitivity if caffeine and alcohol have been consumed recently.

What would you like us to achieve with your treatment?

What is your Gender?

Female

Male

Other

Specify Other Gender

Have you consumed Alcohol or Caffeine recently?

Yes

If you're a female, and comfortable, when is your menstrual cycle due?

Are you only coming for a Wax?

Yes

No, I'm also coming for another Spa Treatment (Massage, Manicure, Pedicure etc)

GENERAL SPA TREATMENTS

Spa packages, specials, pedicures, manicures & massage treatments.

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Medical History

Please tick the options applicable to you:

I exercise regularly

I am pregnant and / or lactating

I am a smoker

None of the above

How would you describe your energy level:

Low

Medium

High

How would you describe your stress level:

Low

Medium

High

What is your general state of health today?

Areas where you feel discomfort?

Areas we should focus on?

Terms & Conditions

Terms & Conditions for the Spa can be found HERE on the first page of our Spa Menu. Please read through them before accepting

I have read the above information and have pr vided accurate information. If I have any concerns, I will address these with my beautician.

I give permission to my beautician to perform the treatments we have discussed and will hold him/her harmless from any liability that may result from this treatment. I understand that my beautician will take every precaution to minimize or eliminate negative reactions as much as possible, an accept the Terms & Conditions of The Feather Hill's Day Spa.