Unlock hundreds more features
Save your Form to the Dashboard
View and Export Results
Use AI to Create Forms and Analyse Results

Forgot Password?
Get Started
OR
Sign UpLogin With Facebook
Sign UpLogin With Google

Facial Treatment Consultation Form Template

Streamline Your Facial Treatment Process with Our Template

Are you struggling to gather essential information from clients before facial treatments? This facial treatment consultation form template is designed for beauty professionals like you, helping you ensure every client receives personalized care. With this form, you can effectively gather client preferences, skin concerns, and medical history, enhance communication, ensure safety during procedures, and streamline your consultation process. Plus, it features WCAG-aligned labels to meet accessibility standards, making it easy for everyone to use. Try the live template now.

Use this Template (FREE) Live Preview
Full name
Email address
Mobile phone number
Preferred contact method
Phone call
Text/SMS
Email
Any
What are your primary skin concerns? (Select all that apply)
Please Specify:
How would you describe your skin type?
Normal
Dry
Oily
Combination
Sensitive
Not sure
How sensitive is your skin?
Low
Moderate
High
Not sure
Do you have any known allergies or sensitivities? (Select all that apply)
Fragrance
Latex
Lidocaine
Aspirin/salicylates
Shellfish/iodine
Adhesives
Skincare actives (e.g., retinoids, AHAs)
None
Other
Please Specify:
Do you have any of the following skin conditions? (Select all that apply)
Have you taken isotretinoin (Accutane) in the past 12 months?
Yes
No
Are you currently using any of the following skincare actives? (Select all that apply)
In the past 4 weeks, have you had any of the following? (Select all that apply)
Chemical peel
Microdermabrasion
Laser treatment
Microneedling
Injectables (Botox or fillers)
Facial waxing/threading
Spray tan/self-tanner
None
Do you take any medications that may increase sun sensitivity or thin the blood?
Yes
No
Not sure
What are your goals for this facial? (Select all that apply)
Please Specify:
Are you comfortable with extractions if appropriate?
Yes
No
Preferred days/times
Weekday mornings
Weekday afternoons
Weekday evenings
Saturday
Sunday
No preference
Anything else we should know before your consultation?
How did you hear about us?
Friend or family
Instagram
TikTok
Facebook
Google search
Online review site
Passing by / walk-in
Event or pop-up
Other
Please Specify:
I confirm that the information provided is accurate to the best of my knowledge.
Strongly disagree
Disagree
Neither
Agree
Strongly agree
I understand that facial treatments carry risks and results may vary by individual.
Strongly disagree
Disagree
Neither
Agree
Strongly agree
Type your full name as your signature
Date
Photo consent for before-and-after images
Yes, internal records only
Yes, may be used in marketing with de-identified images
No, do not take photos
Not sure; discuss at appointment
{"name":"Full name", "url":"https://www.quiz-maker.com/QPREVIEW","txt":"Full name, Email address, Mobile phone number","img":"https://www.quiz-maker.com/3012/images/ogquiz.png"}
Paper art illustration depicting a facial treatment consultation form for FormCreatorAI article

When to use this form

This form fits new client intakes, annual updates, and any time your client's health or routine has changed. Use it before peels, microdermabrasion, extractions, or back facials to screen for allergies, medications, sun exposure, and treatment goals. Solo estheticians and spa teams benefit by documenting contraindications, tailoring products, and setting aftercare expectations. It also supports combined appointments; for example, pair it with a Botox & filler consent form for med spa visits or a Waxing consultation form for same-day brow or lip services. If you offer lash services, reference a Lash lift & tint consent form to capture eye sensitivities. The result is safer treatments, consistent records, and clients who see visible progress.

Must Ask Facial Treatment Consultation Questions

  1. What are your top skin concerns and goals for today?

    Knowing what you want to address first helps you set priorities and define success. It guides your choice of modalities and lets you measure results against clear goals.

  2. Do you have any allergies or past reactions to skincare ingredients or treatments?

    This prevents avoidable reactions and legal risk. You can plan patch tests and select safe products from the start.

  3. What medications, supplements, or recent procedures have you had in the last 6 months?

    Some drugs and treatments change skin tolerance, photosensitivity, and healing time. With this info, you can adjust intensity, timing, or defer services when needed.

  4. When was your last sun exposure, tanning, or hair removal on the treatment area?

    Recently tanned or waxed skin is more reactive, so this steers you toward gentler options or a new date. If you plan eye-area services the same day, review a Lash lift & tint consent form to align patch testing and aftercare.

  5. What is your current home routine, including cleansers, exfoliants, retinoids, and SPF?

    This helps prevent over-exfoliation and product conflicts. It also guides tailored aftercare and retail recommendations that support your results.

More Forms

Copy/Edit Form Send to Recipients Make a Form w/AI Form Builder Must Ask Questions
  • 100% Free - No Catches
  • Collect Responses Today
  • Tailor to your Look & Feel