Name
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First Name
Last Name
Email
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Contact Number
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How did you hear about us?
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Have you had a Lash lift & Tint before
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Yes I have had a lash lift and tint before
No I have not had either a lash lift or tint before
I have only had a lash tint before
If you have, how did you go with your last treatment? What did you like or dislike about your treatment?
Have you ever had an allergic reaction to any sort of beauty treatment or product before?
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Eg. Swellingm Severe Itchness, Extremely red eyes
Please inform us of any allergies you have
Please tick the box is any of these apply to you
I understand that I have to lay down for a period of 45minutes- 1hour
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I agree to have an eyelash lift (perm) and/or eyelash tint applied to my natural eyelashes and/or retouched. By signing this agreement, I consent to the procedure of an eyelash perm or eyelash tint by my technician.
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I understand there are risks associated with having an eyelash perm and/or eyelash tint. I further understand that as part of the procedure, eye irritation, eye pain, eye itching, discomfort, and in rare cases eye infection or blurriness could occur. I agree that if I experience any of these with my lashes that I will contact Wink Lashes and Beauty
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I understand that even though my technician perms the lashes using the proper technique, the instruments, tapes, cleaners, eye gel pads, adhesives, and removers used may irritate my eyes and I will contact Wink lashes and beauty if any irritation occurs
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I understand and agree to the aftercare instructions provided by my technician for the use and care of my permed and/or tinted eyelashes. I realize and accept the consequences of failure to adhere to these instructions may cause the eyelashes to not stay permed as long as told.
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I understand that I can not come to my appointment with eyelash extensions on and need to contact the salon 48 Horus prior to my appointment to arrange an removal
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I understand that I have to inform Wink Lashes and Beauty of any reactions following the appointment up to 14 days after
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I understand that as a part of a lash lift and tint aftercare products are needed to maintain the lash lift results and maintain health lashes and these products are at an additional cost to the treatment
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I understand that I can not book another appointment for a lash lift if I have had one in 6 weeks or closer to my last appointment
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Do you prefer a silent treatment with my therapist or happy to have conversation throughout?
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What is the most important to you about your treatment booked? What would make your leave your appointment completely satisified?
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Is there any other information that you think is important to us that we need to know? Please list below
I understand I am completely welcome to bring headphones into my appointment to list to a device during the treatment
Thankyou so much for filling this form out. All your information is completely confidential and is only visible to Wink Lashes and Beauty staff. .We look forward to seeing you at your appointment x
