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Beauty & Personal Care
Lash Extension Client Intake
Collect client details, lash history, sensitivities, and style preferences before a lash extension appointment.
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What this form looks like
Preview · not interactiveLash Extension Client Intake
Collect client details, lash history, sensitivities, and style preferences before a lash extension appointment.
About you
Full name*
Email address*
Phone number*
Have you had lash extensions before?*
Yes — currently wearing extensions
Yes — in the past, not currently
No — first time
Lash preferences & health
Desired lash style*
Select…▾
Curl preference
Select…▾
Any of the following apply?
Known adhesive or latex allergy
Watery or sensitive eyes
Wear contact lenses
Recent eye surgery or procedure
Describe any sensitivities or reactions (optional)
Reference photo (optional)
⬆ Drop a file or click to upload
Upload an inspiration photo for your desired look.
Lash service consent*
Lash service consent
Submit