Lash Docs -New Client-

annie dzhura luxury lash studio

This is a series of questions to help me get to know you better before you arrive for your appointment.

Your medical information will NOT be disclosed to anyone.

If you have any questions about this form please contact me before your appointment.

Don't worry, you only need to fill out this form for your first appointment!

History Form

annie dzhura luxury lash studio

This form is for the lash artist to make an informative consult for your eyelash extensions appointment.

Do you wear glasses/contacts/both?
Do you have a tendency to rub your eyes or pull on your lashes?
Do you have an allergy to any of the following? If yes, please check box
Which side do you sleep on?
Have you had or used any of the following in the last 4 weeks?
How would you describe your hair growth cycle?
Please mark all conditions that apply:
Please note that medications used to treat the following conditions may cause hair/natural eyelash loss. If you are on medications to treat any of the following, please mark them below:
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