New Client Information
Welcome to Esthetics Studio! Please take a moment to fill out this form. Thank you!
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Date
*
MM
/
DD
/
YYYY
Full name
*
Your answer
Address
*
Your answer
Cell Phone Number (text reminder purposes)
*
Your answer
Email Address
*
Your answer
How did you hear about Esthetics Studio
*
Web search
Social media
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Service you are seeking
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Eyelash extensions
Brow wax shaping
Facial
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Have you had eyelash extensions before?
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Yes
No
N/A
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If so, was your experience positive?
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Yes
No
N/A
Required
Have you had a facial before?
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Yes
No
N/A
Required
If so, was your experience positive?
*
Yes
No
N/A
Required
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