Esteem Hair Beauty Spa Pre Facial Consultation Form
Please Complete this prior to your facial treatment
Have you ever had a facial before?
Please tick if any of the following have previously or currently apply
Which of the following best describes your skin type (Tick as many as you like)
Dark Circles Around Eyes
What is your Skincare routine?
None of above
I understand, have read and completed this questionnaire truthfully. I agree that this constitutes full disclosure, and that it supersedes any previous verbal or written disclosures. I understand that withholding information or providing misinformation may result in contraindications and/or irritation to the skin from treatments received. The treatments I receive here are voluntary and i release this institution and/or skin care professional from liability and assume full responsibility thereof.