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Lash Extensions Intake Form

Please complete this form before your appointment to ensure the best possible service.

Have you had lash extensions before?
Yes, multiple times
Yes, once or twice
No, this is my first time

This helps us understand your experience level with lash extensions.

What type of lash look are you hoping to achieve?
Natural
Classic
Volume
Dramatic
Not sure - I'd like recommendations
Do you have any allergies or sensitivities?

Please select all that apply to ensure your safety during the procedure.

How often do you typically wear eye makeup?
Daily
Several times a week
Occasionally
Rarely or never

Please list any medications, medical conditions, or recent treatments that might affect the lash extension procedure.

What is your main reason for getting lash extensions?
Save time on daily makeup
Special event or occasion
Enhance natural lashes
Boost confidence
Replace mascara
Other reason

Please share any other information that would help us provide the best service for you.

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