Request edit access
The Foot Lady Consultation Form Existing Customer
"Step into Wellness!"

Our  Vision   is to be the premier foot spa in our area, offering the highest quality services that make our guests feel SAFE, beautiful and confident. 
Our Mission is to deliver the highest quality of service, while providing a SAFE, comfortable, and hygienic environment to ensure that every visit to our spa is a pleasant one.

We Sterilize using an autoclave to kill ALL bacterial and fungal organisms. Sterilization with an autoclave is the only means of disease prevention that can be guaranteed.

The sealed pouches are only opened at the start of the service and in the view of the client.

The used pouches and non-sterilized supplies are thrown away by the technician in view of the clients.

We use disposable items, use new file, buffer and pumice stone for each client.

Sign in to Google to save your progress. Learn more
Email *
Important Announcement!
Starting September 2024, we will be updating our store hours, where we will be closed on Sundays and Mondays.

Thank you!
First and Last Name *
Phone number and email address:
 *
Will this be a mobile pedicure or In-spa?
Clear selection
Has there been any change since your last visit?/appointment?
Clear selection
If so, please describe the change you've noticed. (callus, cracks, discoloration, pain, medical)
What services will you receive?
We offer complimentary drink coffee, tea, or bottled water? For in-spa only, please choose one. Not available on mobile services.
Music preference while in spa.
Do you prefer the Light Massage chair or the Deep Massage chair?
Clear selection
If you'd like to chat during your spa services, let me know, but don't be afraid to be silent either.  Type in below your preference.
The Foot lady has the right to take pictures of feet and hands only for record prior to service. (For Records Only)
The Foot lady has the right to take videos of feet and hands only for record prior to service. (For Records Only)
Does The Foot Lady have consent to  take pictures of feet and hands to post on social media?
 *
Does The Foot Lady have consent to  take videos of feet and hands to post on social media?
Clear selection
Do you agree that the above facts are true to the best of your knowledge?
Clear selection
For Non-mobile service you may knock on the door or send a message beforehand.
Would you like to purchase our InnerCalm Adaptogenic De-Stress Refreshment and Energy Fizz drinks by Arbonne? These drinks are specially formulated to promote relaxation and boost energy levels.
Our main form of reaching out to clients is through TEXT.
For Mobile Services, please have your pets in a safe location during services.
Please Do not Shave ON or BEFORE your appointment. Open pores from shaving can lead to bacteria entering.
Same day cancellation is non-refundable but we allow reschedule or cancellation the day before the appointment. We also has the right to refuse services.
I'm happy to assist you with any inquiries or appointment bookings within my responding hours, which are from 8:00 a.m. to 7:00 p.m. Please note that during my responding hours, I may not be able to answer right away if I have an ongoing appointment. I appreciate your patience in such situations. If you have any inquiries or would like to book an appointment outside of these hours or when I have an ongoing service and can't respond immediately, please feel free to browse my website for more information on the services I offer and book an appointment using the online booking system. This system is available 24/7 for your convenience. Thank you for taking the time to consider my services; I look forward to providing you with safe pedicure and manicure services. - The Foot Lady
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms