Client Intake Form-JustDivine Cosmetics

Client Intake Form

Please take a minute to fill in the following info. Must be completed prior to booking any wax service.

First Name

Last Name

Phone Number

Are you a new or returning client?

New Client! I've never been seen by Just Divine Cosmetics

Existing client! We locked in friend!

Please describe your skin type:

Dry

Sensitive

Oily

Normal

Are you currently taking any medications, including antibiotics, retinoids, or steroids?

Have you ever had an allergic reaction to waxing or other hair removal methods?

Do you have any other medical conditions that may affect waxing, such as diabetes or a weakened immune system?

Do you have any current or past skin conditions?

Do you experience any skin irritation or redness after shaving or waxing?

Yes

Do you currently use any skincare products that contain exfoliants or retinoids?

How long is your hair in the area to be waxed?

I shaved/waxed this week.

It's been 2 weeks since I last shaved/waxed.

It's been 3 weeks since I last shaved/waxed.

Long enough to braid.

Do you have any ingrown hairs or razor bumps?

Yes

Have you ever had any laser hair removal treatments?

Yes

Are you pregnant or breastfeeding

Pregnant

Breastfeeding

Both

None of the above

DO'S

Keep your initimate areas clean and fresh
Wax regularly for the best effects. Depending on your skin type every 3-6 weeks.
Make sure hair is at least 1/2in long or 2 weeks of growth
The 3rd day after your waxing you can start exfoliating your waxed area gently to keep your skin smooth and prevent hairs from grwing in. You can do this ever 3rd day.
If your skin is very sensitvite it can be helpful to take an asprin or tylenol 30 mins before your waxing. Remember that just before your period yor skn is more sensitive.

DON'TS: The first 24 hours after your wax

Avoid extremely hot showers/baths
Avoid sun exposure, direct sunlight or sunbathing(or artificial tanning)
Avoid saunas or steam baths
Avoid swimming
Avoid wearing tight or non-breathing clothes to avoid infection: waxed area needs air.
Avoid perfumed products on the waxed skin
Avoid touching the waxed skin: the empty follicles are easily inected by bacteria and need some time to settle down and close.
No oil-bassed or tanning products
Avoid products with Alpha Hydroxy Acids (AHAs) which may irritate waxed skin

AFTER 24 HOURS:

Gently exfoliate skin after day 3.
Avoid waxing just before your period.
Don't shave in between waxes: this would affect the hair growth cycle
Protect your body from direct sunlight using good sunscreen

Do you have any other questions or concerns about the waxing process?

Consent and Acknowledgment

I understand that waxing may cause temporary skin irritation or redness. I have read and understood the above questions and have answered them honestly and to the best of my knowledge. I consent to the waxing services being performed by the technician and acknowledge that I am responsible for informing the technician of any changes to my medical history or skin condition.

I agree to the terms & conditions

Your Signature