Please complete this form before your facial so we can care for your skin.
Beauty template · 13 fields (12 required) · ~3 min for respondents to complete · Free plan · No credit card · Fully customizable
Set up your facial intake form template
Please complete this form before your facial so we can care for your skin.
Edit the treatment list to match your menu. Review retinoid use, recent procedures and pregnancy before treatment and adjust products as needed. Ask returning clients to update their answers.
The form separates phone number, date of birth, which treatment are you booked for?, skin type into labeled questions. Review the choices and required fields for your organization before sharing it.
Best practices
Edit the treatment list to match your menu. Review retinoid use, recent procedures and pregnancy before treatment and adjust products as needed. Ask returning clients to update their answers.
Customize the phone number and date of birth questions to match your records and terminology.
Name the team that reviews responses and explain what happens after submission. A requested date, service or approval is not automatically confirmed.
Ask only for information needed for this step. Arrange any sensitive supporting documents through an appropriate private process.
Every field, explained
Client full name (Name, required)
Email address (Email, required)
Phone number (Phone, required)
Date of birth (Date, required)
Which treatment are you booked for? (Dropdown, required)
Skin type (Dropdown, required)
Main skin concerns (Multiple choice, required)
Are you currently using any of these? (Multiple choice, required)
Have you had injectables, peels, laser or waxing on your face in the last 30 days? (Single choice, required)
Are you pregnant or breastfeeding? (Single choice, required)
Allergies or sensitivities (Short text, required) — Write "None" if none.
Current skincare routine (optional) (Long text)
Acknowledgment (Multiple choice, required)
Frequently asked questions
What does this facial intake form template template collect?
Alongside contact details, it asks for phone number, date of birth, which treatment are you booked for?, skin type, main skin concerns, are you currently using any of these?, have you had injectables, peels, laser or waxing on your face in the last 30 days?, are you pregnant or breastfeeding?, allergies or sensitivities, current skincare routine (optional), acknowledgment. You can rename questions, change choices and remove fields that your workflow does not need.
How should I use this facial intake form template form?
Edit the treatment list to match your menu. Review retinoid use, recent procedures and pregnancy before treatment and adjust products as needed. Ask returning clients to update their answers.
Can I edit this form and print a copy?
Yes. Open an editable draft, adjust the questions, and review the preview before publishing. You can also use the template page’s print option. Publishing requires an account; the draft can be tried first.