Femina’s Hair & Beauty
Forms
CLIENT CONSULTATION RECORD EYE TREATMENTS
Therapist
Date
Client Name
Phone/Mobile
Allergy Test
Yes
No
Test Results
Positive
Negative
Contra-Indications
Sensitive
Infected eyes
Other
Regular Medication (Are You Taking any medication ?)
Yes
No
Treatment Plan
Eye Treatment
Eyelash tinting
Eyebrow re-shaping
Eyebrow tinting
Colour characteristics of clients hair
Fair
Black
Blue
Brown
Dark
White
Red
Grey
Realistic clients Expectations
Yes
No
Unrealistic clients Expectations
Yes
No
Recommend Return Visit
1 Month
5 Weeks
6 Weeks
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