About this template
This Lash Extension Intake Form is designed for professional lash artists and estheticians to streamline the client onboarding process. By collecting essential health history, eye condition details, and style preferences before the appointment, you can ensure a safe, customized, and high-quality service for every client.
Beyond basic contact information, this form captures critical data such as current eye medications, previous lash experience, and specific lifestyle factors that impact lash retention. Using this template helps you identify potential contraindications early, manage client expectations, and maintain organized, professional records for your beauty business.
Key features
- Capture vital health and eye condition history.
- Identify first-time vs. returning lash clients.
- Document style preferences and sleeping habits for better retention.
- Includes a digital signature field for consent.
- Mobile-friendly layout for easy client completion.
Use cases
- New client onboarding for lash extension services.
- Pre-appointment health and safety screening.
- Documenting lash style preferences for recurring clients.
- Liability and consent record-keeping.
What this form collects
- Full Name (Short answer)Please enter your legal first and last name.
- Contact Information (Short answer)We need this to confirm your appointment and send updates.
- Have you had lash extensions before? (Multiple choice)Select the option that best describes your experience.
- Eye Health and Medications (Paragraph)Do you currently use eye drops, wear contacts, or have any eye conditions (e.g., styes, dry eye, allergies)?
- Preferred Sleeping Position (Multiple choice)This helps us determine which lash styles may last longer for you.
- Lash Style Preference (Paragraph)Describe the look you are hoping to achieve (e.g., natural, dramatic, cat-eye).
- Consent and Signature (Short answer)By typing your full name below, you acknowledge that you have read and understood the risks associated with lash extensions.
FAQ
Why is an intake form necessary for lash extensions?
It ensures you are aware of any allergies, eye conditions, or medications that could cause adverse reactions to lash adhesives or tools.
Can I add my own salon policies to this form?
Yes, you can easily add a section to this Google Form to include your cancellation policy, deposit requirements, or aftercare instructions.
How do I ensure client privacy?
Google Forms stores data in your secure Google Drive. Ensure your account settings are private and that you follow your local data protection guidelines.
Can clients sign this form digitally?
Yes, you can include a text field for clients to type their full name as a digital signature, confirming they have read and understood your terms.
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.