Client questionnaire
Date
Name
Your Surname
Your E-mail
Date of birth
What service are you visiting?
Where did you hear about us?
Why were you interested in this service?
Do you have any health contraindications that we need to know about in advance before the procedure?
NO
allergies
psoriasis in the active stage
high or low blood pressure
oncology
immune diseases
Another
Do you want your hair to be dried after the procedure?
yes
no
We have several types of cosmetics for every skin and hair type. If If you have a preference please mark here.
I have curly hair and I use curly hair products
I have very dry hair and would like to use additional moisture
I have no special wishes
We will be very grateful if you share where you are looking for information about services
Google
Instagram
Facebook
TikTok
Other
Instagram (what accounts do you follow?)
Facebook (what groups do you follow?)
Would you be interested in receiving package offers for our services with special discount for regular visitors?
yes
no
Send
Made on
Tilda
