Wax Consultation Form
Email address *
Name & Date *
Contact Phone Number and Email (My system sends out appointment reminders for you & special savings) *
Which form of communication is best for you? I’d love to keep you in the loop with monthly specials, sales , new products/ services & fun business updates! *
Address, City, State, Zip (I occasionally send out happy mail)
Emergency Contact & Phone Number *
Your Birthday Month/Day
How did you hear about Kendra Renee Holistic Skin Nutrition & Expert Waxing?
Clear selection
Have you ever been waxed before? If yes, when?
(If applicable) When is your menstrual cycle due? *for your own comfort, it is best not to wax 2 days before, during, and 2 days following your menstrual cycle.
Do you have any tendencies towards: Ingrown hairs, break outs, bumps, hyperpigmentation, bruising, scarring, eczema, psoriasis? If yes, please note.
The more I know, the better your results and the better I can serve you. Have you had or do you use any of the following (if yes, please note date.): Microdermabrasion, botox, fillers, laser resurfacing, LED light therapy, removal of skin cancer, active cancer, chemotherapy, tetracycline, isotretinoin/accutane, Retin-A, aplha or beta hydroxy acids, resorcinol, at home scrubs/peels, indoor tanning, hydroquinone,herpes, staph, MRSA, allergies, etc.
What did you LOVE about your last waxing experience, and what could you have lived without?
Knowing that home care is a big part of achieving beautiful & healthy skin after waxing, would you like to chat about how to maintain today's results and have the best waxing experience? *
Please read carefully and initial the following by checking each box. *
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Anything else you want to share? I love learning about my clients as it helps me provide superior customer service.
By hitting submit, you acknowledge that you are virtually signing your name. *
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