About this template
The Client Evaluation Form for Lash Extensions is an essential tool for lash technicians, estheticians, and salon owners who want to provide safe, tailored eyelash extension services. Before applying any extensions, it is critical to screen clients for underlying medical conditions, eye sensitivities, contact lens use, and previous adverse reactions to adhesives. This form collects vital health history and establishes clear treatment terms, protecting both the client and the beauty professional.
Using Doc2Form, you can instantly turn this evaluation template into a ready-to-use Google Form, making it effortless to send to clients via email or text before their appointment. Clients can complete the questionnaire smoothly on their mobile devices, ensuring you have all health disclosures and acknowledgment of risks reviewed and securely documented before they arrive at the salon chair.
Key features
- Collect complete health and eye sensitivity histories securely
- Mobile-friendly format for quick completion in the waiting area or at home
- Streamline pre-treatment consultations and minimize liability risks
- Easily customize questions to fit your specific salon protocols and products
- Instantly convert into a live Google Form with Doc2Form
Use cases
New client onboarding at boutique lash bars and full-service day spas
Pre-screening clients for allergic sensitivities before using new adh…
Pre-screening clients for allergic sensitivities before using new adhesives
Obtaining signed risk acknowledgments and aftercare agreement policies
Tracking natural lash growth rates and styling preferences over time
What this form collects
- Full Name (Short answer)Enter your first and last name.
- Email Address (Short answer)We will use this to send appointment confirmations and aftercare instructions.
- Home or Cell Phone (Short answer)Enter your primary contact number.
- Home Address (Paragraph)Provide your street address, city, state, and zip code.
- How did you hear about us? (Dropdown)Select the option that best describes how you found our salon.
- Health & Lifestyle Checklist (Checkboxes)Select any conditions that apply to you currently or in the past.
- Other Health Conditions or Sensitivities (Paragraph)Please list any medical conditions, skin sensitivities, or past reactions to lash adhesives.
- Natural Lash Condition (Paragraph)Describe your natural lashes (e.g., straight, curly, sparse, thick, or previously damaged).
- Risk Acknowledgement Initials (Short answer)Type your initials to confirm you understand potential risks such as allergic reactions or temporary irritation.
- Service Terms Acceptance (Multiple choice)Do you agree to follow all pre-treatment and post-treatment aftercare instructions provided by your lash specialist?
- Client Printed Name (Short answer)Type your full legal name as an electronic signature.
- Signing Date (Date)Select today's date.
FAQ
How do I share this evaluation form with my clients?
Once Doc2Form generates your Google Form, you can easily copy the link and text or email it to clients as part of your automated booking confirmation workflow.
Can I add questions about specific adhesive brands or sensitive eyes?
Yes! Because the form lives in Google Forms, you can fully edit, add, or remove questions to match your exact salon products and procedures.
Is this form mobile-friendly for clients filling it out on their phones?
Google Forms automatically optimizes for all mobile devices, allowing your clients to complete their health disclosures seamlessly from their smartphones.
How does collecting health history protect my salon?
Screening for conditions like recent eye surgeries, blepharitis, or severe allergies ensures you can adjust your application technique or recommend patch tests, safeguarding both client health and professional liability.
Can I collect client signatures using this template?
While standard Google Forms capture typed legal names for consent acknowledgements, you can also include a paragraph field for clients to paste digital signature verification links if required by your insurance.
Get this form in your Google Drive
Save a copy to your Google Drive with one click (uses 1 credit). Or build from a PDF or description in the app.