About this template
Gathering comprehensive skin health history and client goals is essential for delivering safe, personalized spa and aesthetic treatments. This Spa Evaluation and Skin Care Intake Form template streamlines the client onboarding process by capturing vital details including contact information, medical background, current skincare regimens, lifestyle habits, and specific treatment objectives. Designed for estheticians, dermatologists, spa owners, and skincare professionals, this form ensures you have all necessary disclosures and preferences before beginning any procedure.
By migrating your client intake to Doc2Form, you eliminate cumbersome paper clipboards and disorganized files. Clients can complete the detailed questionnaire easily from their phone or computer prior to their appointment. The collected responses automatically populate a structured Google Sheet, allowing your team to review medical histories, allergies, and product usage in seconds. Create a safer, more professional client experience while keeping all intake data securely organized in your Google Workspace.
Key features
- Comprehensive health and medical history tracking
- Detailed skincare product and regimen inventory
- Lifestyle, sun exposure, and smoking habit evaluations
- Specific skin improvement goals and treatment preferences
- Fully customizable questions to match your spa menu
Use cases
- Initial client consultations for advanced facial treatments
- Medical history screening prior to chemical peels or laser procedures
- Tracking current product regimens and potential skin irritants
- New client onboarding for luxury day spas and medical spas
What this form collects
- Today's Date (Date)Select today's date.
- Full Name (Short answer)Enter your first and last name.
- Date of Birth (Date)Enter your birth date.
- Phone Number (Short answer)Enter your primary contact number.
- Email Address (Short answer)Enter your email for appointment confirmations and skincare tips.
- Home Address (Paragraph)Enter your street address, city, state, and zip code.
- How did you hear about us? (Dropdown)Select the referral source that brought you to our spa.
- Reason for Visit (Paragraph)Describe what you hope to achieve during your visit today.
- Skin Improvement Goals (Checkboxes)Select your primary skincare objectives.
- Skin Type (Multiple choice)Which best describes your skin type?
- Current Skincare Regimen (Paragraph)List the brands and frequency of cleansers, moisturizers, SPF, and active serums you currently use.
- Medical History & Conditions (Checkboxes)Do you have any of the following conditions? Select all that apply.
- Current Medications & Vitamins (Paragraph)List any prescription medications, topical creams (such as Retin-A), or vitamins you currently take.
- Are you pregnant or breastfeeding? (Multiple choice)Certain treatments and active ingredients are restricted during pregnancy.
- Smoking Status (Multiple choice)Do you currently smoke?
- Additional Comments or Concerns (Paragraph)Share anything else you'd like your esthetician to know before your service.
FAQ
What is included in a spa skin care intake form?
It typically collects client contact details, medical history, current medications, allergies, existing skincare product usage, sun exposure habits, and primary skin concerns or goals.
Why is medical history important for spa treatments?
Certain skin treatments, chemical peels, and laser procedures can interact negatively with medications, medical conditions, or recent cosmetic procedures. An intake form helps ensure client safety.
Can I customize the questions in this Google Form template?
Yes! Once you generate the form with Doc2Form, you have full ownership in Google Forms to add, remove, or modify any questions to fit your specific spa services.
How do clients fill out this form before their appointment?
You can easily share the Google Form link via email confirmation, text message, or embed it directly on your website's booking confirmation page.
Where is the submitted client data stored?
All responses are securely saved in your personal Google Drive account and automatically organized into a linked Google Sheets spreadsheet for quick review.
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.