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CQC WF Test 2
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CQC WF Test 2
CQC Workflow Test
All Portal Forms
Menu Tidy
Treatments
All Aesthetics Forms
All Massage Forms
All Facials Forms
All Eyebrow And Lashes
Members
Register
My Account
Member Login
Member LogOut
Member TOS Page
Public Individual Page
Subscription Plan
Lost Password
Form Demos
Form Builds
Login / Medical
Default Redirect Page
Thank You Page
Checkout Page
Eyebrows & Eyelashes
Eyelash Extensions
Please complete the form as best you can.
BBL - Eyebrow & Lash - Lash Extensions Screening Form
Which service
- Select -
Classic Lash
Cluster Lash
Have you had a patch test with us in the last 6 months?
Yes
No
Patch test date
Any current eye infection, stye, conjunctivitis or blepharitis?
Yes
No
Do you suffer from dry, watery or sensitive eyes?
Yes
No
Eye surgery including laser in the last 6 months?
Yes
No
Glaucoma or prescription eye drops?
Yes
No
Do you wear contact lenses?
Yes
No
Ever reacted to lash adhesive, glue or plasters?
Yes
No
Details
Had lash extensions before?
Yes
No
When and any problems
Do you use lash growth serums?
Yes
No
Alopecia or hair pulling affecting lashes?
Yes
No
Hayfever or allergies causing itchy eyes?
Yes
No
Preferred look
Full
Name
Date of Birth
Date
Submit Form
Lash Lift & Tint
Please complete the form as best you can.
BBL - Eyebrow & Lash - Lash Lift & Tint Form
Have you had a patch test with us in the last 6 months?
Yes
No
Patch test date
Any current eye infection, stye or conjunctivitis?
Yes
No
Message
Please rebook once fully cleared
Dry, watery or sensitive eyes?
Yes
No
Eye surgery including laser in the last 6 months?
Yes
No
Glaucoma or prescription eye drops?
Yes
No
Contact lenses?
Yes
No
Ever reacted to hair dye, tint, perming solutions or lash products?
Yes
No
Details
Had a lash lift before?
Yes
No
When and any problems
Are your lashes damaged, very short or sparse?
Yes
No
Do you use lash growth serums?
Yes
No
Are you pregnant or breastfeeding?
Yes
No
Desired result
Full
Name
Date
Submit Form
Eyebrow Treatments
Please complete the form as best you can.
BBL - Eyebrow & Lash - Brow Treatments Form
Which service
- Select -
Brow Wax and Tint
Brow Shape and Wax
Patch test date
Any skin conditions, broken skin, sunburn or recent procedures in the brow area? Details
Which products
Details
Preferred brow shape or result
Full
name
Date of birth
Date
Submit Form
