Facial intake form for skin, lash and wax appointments

Updated 2026-10-30

Skin that reacts to a peel or a wax strip is a bad start to a treatment. Most of it is avoidable if I know what the client used last week. I would rather ask before they lie down.

Who it is for

Estheticians, lash artists and waxing studios who want the same answers from every new client.

What each question is for

  • Treatments wanted: one form for every service on your menu.
  • Skin type and concerns: shows what to focus on.
  • Strong products and recent exposure: retinoids, acids, sun and waxing can make skin react, so you adjust or delay.
  • Allergies, reactions and contact lenses: the answers that change what you use.
  • Patch test and confirmation ticks: the client knows a test may come first and says the details are right.

What a client's AI would ask

"Which treatments are you booking?" Then "Do you use retinol or acids?" Then "Have you had any reactions before?" It shows the answers and sends only after a yes. See agent-fillable forms.

Before you use it

Read the strong products and reactions first. For longer treatments, pair this with a massage intake form, and after the visit a salon feedback form. A hair client needs a client consultation form instead. More ideas are in forms for salons and spas.

Questions

Does it replace a patch test?

No. It records what the client says and a tick that a patch test may be needed. You still run your normal checks in the room.

Should I ask about medical history?

Keep to what changes the treatment: products used, recent treatments and allergies. For anything more, talk to the client in person. This form is not medical advice.

Can lash and wax clients use the same form?

Yes. The treatment question allows several services at once. Remove questions you never use, such as lashes, so the form stays short.

Try the form

Live demo ยท nothing is saved

Before your skin appointment

A few questions so we can choose the right products and avoid anything your skin dislikes.

Which treatments are you booking? (required)
How would you describe your skin?
What would you like help with?
Do you use any of these?
In the last few weeks, have you had any of these?

For example to fragrance, latex, adhesive or specific products.

Do you wear contact lenses?
I understand a patch test may be needed first
These details are correct, as far as I know (required)
Use this templateAll templates

Or paste the JSON

Give this to your AI. It needs the AI Form API MCP server or an API key. It makes the form and sends you the link.

text
Create this form with the AI Form API create_form tool (or POST https://aiformapi.com/v1/forms with my API key). Then reply with the public_url.

{
  "title": "Before your skin appointment",
  "description": "A few questions so we can choose the right products and avoid anything your skin dislikes.",
  "fields": [
    {
      "id": "client_name",
      "label": "Your name",
      "type": "short_text",
      "required": true,
      "max_length": 150
    },
    {
      "id": "client_phone",
      "label": "Your phone",
      "type": "phone",
      "required": true
    },
    {
      "id": "client_email",
      "label": "Your email",
      "type": "email"
    },
    {
      "id": "treatments_wanted",
      "label": "Which treatments are you booking?",
      "type": "multi_choice",
      "required": true,
      "options": [
        "Facial",
        "Brow shaping or wax",
        "Body waxing",
        "Lash extensions",
        "Lash lift",
        "Skin peel",
        "Not sure yet"
      ],
      "min": 1
    },
    {
      "id": "skin_type",
      "label": "How would you describe your skin?",
      "type": "single_choice",
      "options": [
        "Dry",
        "Oily",
        "Combination",
        "Sensitive",
        "Normal",
        "I do not know"
      ]
    },
    {
      "id": "skin_concerns",
      "label": "What would you like help with?",
      "type": "multi_choice",
      "options": [
        "Breakouts",
        "Dryness",
        "Redness",
        "Dark spots",
        "Fine lines",
        "Dull skin",
        "Sensitivity"
      ]
    },
    {
      "id": "home_routine",
      "label": "What do you use on your skin now?",
      "type": "long_text",
      "max_length": 1000
    },
    {
      "id": "strong_products",
      "label": "Do you use any of these?",
      "type": "multi_choice",
      "options": [
        "Retinol or retinoids",
        "Exfoliating acids",
        "Prescription creams",
        "Self-tanner",
        "None of these"
      ]
    },
    {
      "id": "recent_exposure",
      "label": "In the last few weeks, have you had any of these?",
      "type": "multi_choice",
      "options": [
        "Sun exposure or sunburn",
        "A peel or laser",
        "Waxing or threading",
        "Injectables",
        "None of these"
      ]
    },
    {
      "id": "known_reactions",
      "label": "Allergies or past reactions",
      "type": "long_text",
      "help": "For example to fragrance, latex, adhesive or specific products.",
      "max_length": 1000
    },
    {
      "id": "wears_lenses",
      "label": "Do you wear contact lenses?",
      "type": "single_choice",
      "options": [
        "Yes",
        "No"
      ]
    },
    {
      "id": "lash_look",
      "label": "The lash look you like, if you are booking lashes",
      "type": "short_text",
      "max_length": 300
    },
    {
      "id": "patch_test_ok",
      "label": "I understand a patch test may be needed first",
      "type": "checkbox"
    },
    {
      "id": "details_right",
      "label": "These details are correct, as far as I know",
      "type": "checkbox",
      "required": true
    }
  ]
}

Or call the API

bash
curl -X POST https://aiformapi.com/v1/forms \
  -H "Authorization: Bearer $AIFORMAPI_KEY" \
  -H "Content-Type: application/json" \
  -d '{"title":"Before your skin appointment","description":"A few questions so we can choose the right products and avoid anything your skin dislikes.","fields":[{"id":"client_name","label":"Your name","type":"short_text","required":true,"max_length":150},{"id":"client_phone","label":"Your phone","type":"phone","required":true},{"id":"client_email","label":"Your email","type":"email"},{"id":"treatments_wanted","label":"Which treatments are you booking?","type":"multi_choice","required":true,"options":["Facial","Brow shaping or wax","Body waxing","Lash extensions","Lash lift","Skin peel","Not sure yet"],"min":1},{"id":"skin_type","label":"How would you describe your skin?","type":"single_choice","options":["Dry","Oily","Combination","Sensitive","Normal","I do not know"]},{"id":"skin_concerns","label":"What would you like help with?","type":"multi_choice","options":["Breakouts","Dryness","Redness","Dark spots","Fine lines","Dull skin","Sensitivity"]},{"id":"home_routine","label":"What do you use on your skin now?","type":"long_text","max_length":1000},{"id":"strong_products","label":"Do you use any of these?","type":"multi_choice","options":["Retinol or retinoids","Exfoliating acids","Prescription creams","Self-tanner","None of these"]},{"id":"recent_exposure","label":"In the last few weeks, have you had any of these?","type":"multi_choice","options":["Sun exposure or sunburn","A peel or laser","Waxing or threading","Injectables","None of these"]},{"id":"known_reactions","label":"Allergies or past reactions","type":"long_text","help":"For example to fragrance, latex, adhesive or specific products.","max_length":1000},{"id":"wears_lenses","label":"Do you wear contact lenses?","type":"single_choice","options":["Yes","No"]},{"id":"lash_look","label":"The lash look you like, if you are booking lashes","type":"short_text","max_length":300},{"id":"patch_test_ok","label":"I understand a patch test may be needed first","type":"checkbox"},{"id":"details_right","label":"These details are correct, as far as I know","type":"checkbox","required":true}]}'

JSON definition

json
{
  "title": "Before your skin appointment",
  "description": "A few questions so we can choose the right products and avoid anything your skin dislikes.",
  "fields": [
    {
      "id": "client_name",
      "label": "Your name",
      "type": "short_text",
      "required": true,
      "max_length": 150
    },
    {
      "id": "client_phone",
      "label": "Your phone",
      "type": "phone",
      "required": true
    },
    {
      "id": "client_email",
      "label": "Your email",
      "type": "email"
    },
    {
      "id": "treatments_wanted",
      "label": "Which treatments are you booking?",
      "type": "multi_choice",
      "required": true,
      "options": [
        "Facial",
        "Brow shaping or wax",
        "Body waxing",
        "Lash extensions",
        "Lash lift",
        "Skin peel",
        "Not sure yet"
      ],
      "min": 1
    },
    {
      "id": "skin_type",
      "label": "How would you describe your skin?",
      "type": "single_choice",
      "options": [
        "Dry",
        "Oily",
        "Combination",
        "Sensitive",
        "Normal",
        "I do not know"
      ]
    },
    {
      "id": "skin_concerns",
      "label": "What would you like help with?",
      "type": "multi_choice",
      "options": [
        "Breakouts",
        "Dryness",
        "Redness",
        "Dark spots",
        "Fine lines",
        "Dull skin",
        "Sensitivity"
      ]
    },
    {
      "id": "home_routine",
      "label": "What do you use on your skin now?",
      "type": "long_text",
      "max_length": 1000
    },
    {
      "id": "strong_products",
      "label": "Do you use any of these?",
      "type": "multi_choice",
      "options": [
        "Retinol or retinoids",
        "Exfoliating acids",
        "Prescription creams",
        "Self-tanner",
        "None of these"
      ]
    },
    {
      "id": "recent_exposure",
      "label": "In the last few weeks, have you had any of these?",
      "type": "multi_choice",
      "options": [
        "Sun exposure or sunburn",
        "A peel or laser",
        "Waxing or threading",
        "Injectables",
        "None of these"
      ]
    },
    {
      "id": "known_reactions",
      "label": "Allergies or past reactions",
      "type": "long_text",
      "help": "For example to fragrance, latex, adhesive or specific products.",
      "max_length": 1000
    },
    {
      "id": "wears_lenses",
      "label": "Do you wear contact lenses?",
      "type": "single_choice",
      "options": [
        "Yes",
        "No"
      ]
    },
    {
      "id": "lash_look",
      "label": "The lash look you like, if you are booking lashes",
      "type": "short_text",
      "max_length": 300
    },
    {
      "id": "patch_test_ok",
      "label": "I understand a patch test may be needed first",
      "type": "checkbox"
    },
    {
      "id": "details_right",
      "label": "These details are correct, as far as I know",
      "type": "checkbox",
      "required": true
    }
  ]
}