Lash extension consultation form

An extension consultation starts with the look the customer wants and what is already on their lashes. This template separates first sets, infills and removal with a new set, then asks about style and previous work. Known product reactions and patch-test discussion are optional, with a private conversation option. The form supports a discussion with the lash technician; it does not decide suitability or replace product instructions.

Opens as an editable form in your dashboard. If you're not signed in yet, you'll sign in or create an account first.

This template is a starting point, not legal advice. Check the questions, the consent text and how long you keep the answers against the data protection rules that apply to your practice.

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What's in this template

Every field can be renamed, reordered, made optional or removed in the form builder.

  • Full nameShort answer · Required
  • Phone numberPhone · Required
  • EmailEmail · Optional
  • Lash service to discussDropdown · Required
  • Desired lash style (optional)Long answer · Optional
  • Previous extensions and last application date (optional)Short answer · Optional
  • Any known reactions to adhesives, colour or salon products? (optional)Single choice · Optional
  • Product or reaction note (optional; no medical history needed)Short answer · Optional
  • Would you like to discuss a patch test? (optional)Single choice · Optional
  • Preferred dateDate · Required
  • Preferred time of dayDropdown · Required
  • ConsentCheckbox · Required

How to use this template

  1. Open it in your dashboardSelect “Use this template”. If you don't have an account yet, sign up first; the form opens right after.

  2. Make it yoursChange the questions, options, colours and the thank-you message in the form builder, then save.

  3. Share it and get responsesShare the form's link or link to it from your website. Each response is emailed to you and saved in your dashboard.

Tips for this form

  • Review previous extension details before offering an infill appointment.
  • Keep reaction notes brief and offer a private conversation with the lash technician.
  • Follow your product instructions and salon process when arranging any patch test.

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Questions about this template

Is this a lash treatment consent form?

No. It gathers preferences for a lash consultation. Discuss the planned service and any separate consent with the customer before treatment.

Must customers answer the allergy questions?

No. Known reactions, the short note and patch-test discussion are all optional. Customers can choose a private conversation instead of sharing details here.

Does a patch-test answer confirm suitability?

No. A form answer records a request or a reported test only. Staff check their records and follow product instructions before agreeing on a lash service.

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