Holistic Beauty · Client intake

Facial & skin consultation.

This short skin-safety questionnaire is required before requesting your appointment. Your esthetician will review your answers and may ask follow-up questions before confirming treatment.

Private submission Before booking

01 Your contact details

Full name *

Email address *

Phone number *

02 Skin-safety screening

Select yes or no for each question. Your answers are shared only with authorized studio staff.

01 Is your skin currently irritated, sunburned, broken, or unusually sensitive?

No Yes

02 Are you using prescription acne products, retinoids, or other medications that affect your skin?

No Yes

03 Have you recently had a peel, laser treatment, injectable procedure, or other facial treatment?

No Yes

04 Do you have known reactions or allergies to skincare products or ingredients?

No Yes

05 Is there a current skin or medical condition your esthetician should review?

No Yes

Skin goals or anything else to share (optional)I understand my consultation answers will be stored for Holistic Beauty's authorized team to review alongside my booking request. This form does not provide medical advice.

You will return to the booking page to choose your treatment, esthetician and available appointment time.