About this template
A Makeup Pre-Procedure Questionnaire is an essential intake tool used by beauty professionals, makeup artists, and aesthetic clinics to evaluate client eligibility and understand their aesthetic goals before beginning any treatment. This form captures vital details including client contact information, prior permanent makeup history, current medications, medical conditions, pregnancy or lactation status, and specific styling preferences for brows, lips, or eyeliner.
Collecting this information beforehand ensures practitioner safety, prevents adverse reactions, and aligns client expectations with realistic procedure outcomes. By gathering complete medical histories and explicit consent upfront, beauty providers maintain professional standards and safeguard their practice.
With Doc2Form, you can instantly turn this structured questionnaire into a fully functional Google Form, allowing you to share a clean, professional intake link with clients via text, email, or your studio website before their appointment.
Key features
- Collect detailed medical and permanent makeup histories instantly
- Assess skin conditions and contraindications prior to sessions
- Gather precise style preferences for brows, lips, and eyeliner
- Secure client consent and policy acknowledgments in one place
- Streamline pre-appointment admin for beauty artists and salons
Use cases
- Permanent makeup and microblading initial client consultations
- Bridal makeup trial pre-screening and allergy checks
- Specialized cosmetic tattooing intake and waiver collection
- Aesthetic salon client health history documentation
What this form collects
- Full Name (Short answer)Enter your first and last name as it appears on your government-issued ID.
- Email Address (Short answer)We will use this to send appointment confirmations and aftercare instructions.
- Phone Number (Short answer)Enter your primary mobile number for appointment reminders.
- Appointment Date (Date)Select the scheduled date of your procedure.
- Prior Permanent Makeup Status (Multiple choice)Have you ever had permanent makeup or cosmetic tattooing on the area being treated today?
- Prior Procedure Details (Paragraph)If you answered yes above, please describe when and where it was done, and the pigment used.
- Medical History & Conditions (Checkboxes)Please check any conditions that currently apply to you.
- Planned Vacations or Sun Exposure (Multiple choice)Do you have any tropical vacations, swimming plans, or heavy sun exposure scheduled in the next 3 weeks?
- Current Medications & Supplements (Paragraph)List any blood thinners, acne medications (like Accutane), or herbal supplements you are currently taking.
- Desired Style Preferences (Paragraph)Describe your aesthetic goals, preferred colors, thickness, or overall look you wish to achieve.
- Terms and Consent Acceptance (Multiple choice)I confirm that all medical history and personal information provided above is accurate, and I consent to the procedure.
FAQ
What is a makeup pre-procedure questionnaire?
It is an intake form used by beauty professionals to collect medical history, skin sensitivities, contraindications, and styling goals from clients prior to performing cosmetic treatments.
Why is medical history important before a makeup procedure?
Certain medical conditions, medications, recent surgeries, or skin treatments can affect pigment retention, healing times, or increase the risk of complications during procedures like permanent makeup.
How can I share this form with my clients?
Once generated in Google Forms, you can easily email or text the link to clients when they book their appointment so they can complete it ahead of time.
Can I customize the styling preference questions?
Yes! You can edit any question in Google Forms to match the specific services your salon offers, such as specific pigment shades, brow thicknesses, or eyeliner styles.
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.