Nail Service Consultation & Health Assessment Form

1. About You

Tell us a little about yourself so we can tailor every detail of your visit.

 

Preferred name/nickname

Pronouns

Date of birth

Mobile/contact number

E-mail address

How did you hear about us?

2. Service Preferences & Occasion

Help us create the perfect look and experience for you.

 

What is the main reason for your visit today?

Routine maintenance

Special occasion

Self-care/relaxation

Nail damage repair

Trend refresh

Other

 

What is the occasion?

How often do you normally get professional nail services?

First time

Every 1-2 weeks

Every 3-4 weeks

Every 2-3 months

Twice a year or less

Which services are you interested in today? (select all that apply)

Gel manicure

Regular polish manicure

Nail extensions (tips, forms, acrylic, gel-x)

Nail art/design

Nail repair

Pedicure

Paraffin treatment

Nail removal/take-off

Other:

 

Preferred extension system?

Hard gel

Acrylic

Gel-X/soft full cover tips

Poly-gel

Not sure – recommend

 

Describe your dream nails or inspiration (shape, length, colours, theme, reference photos, etc.)

Do you have a strict budget range?

 

Budget limit (per service)

3. Current Nail & Skin Condition

Your safety and satisfaction depend on understanding the present condition of your nails and skin.

 

Current nail length:

Very short (free edge ≤ 1 mm)

Short (1–3 mm)

Medium (3–6 mm)

Long (6–10 mm)

Extra long (≥ 10 mm)

Natural nail shape:

Round

Oval

Squoval

Square

Almond

Stiletto

Coffin/ballerina

Undefined/damaged

Rate overall nail health (1 = very damaged, 5 = excellent)

Are you experiencing any lifting, peeling or splitting?

 

Please describe location and severity:

Do you have any nail or skin infection (fungal, bacterial, viral)?

 

Describe affected area and treatment (if any):

Do you wear any enhancements that need removal before service?

 

Type of existing product:

Gel polish

Dip/SNS

Acrylic

Hard gel

Poly-gel

Nail wraps

Mix of systems

Do you have any open cuts, wounds or fresh scars on hands/feet?

Do you experience chronic dry skin, eczema or psoriasis on hands/feet?

Do your hands/feet frequently swell or feel painful?

4. Health, Allergies & Medications

Certain conditions and products can interact. Please answer honestly so we can keep you safe.

 

Are you pregnant or breastfeeding?

 

Trimester/stage:

1st trimester

2nd trimester

3rd trimester

Breastfeeding

Do you have diabetes?

Do you have any blood-clotting disorders or take blood thinners?

Have you ever experienced an allergic reaction to nail products (monomer, gel, polish, adhesives, etc.)?

 

Describe product and reaction:

Are you allergic or sensitive to any of the following? (select all that apply)

 

Check any that apply:

Latex

Acetone

Fragrance

Formaldehyde/formaldehyde resin

Toluene

Camphor

Colophony (rosin)

Methacrylates

Cyanocrylate (glue)

Other chemical

Do you wear contact lenses?

Do you use topical medications (steroid creams, retinoids, etc.) on hands/feet?

List any recent surgeries, injuries or medical conditions we should know about:

5. Lifestyle & Habits

Understanding your daily routine helps us recommend the best products and after-care.

 

Your occupation/daily hand usage:

Office/light typing

Healthcare (frequent glove use)

Food service

Childcare

Cleaning/chemical exposure

Mechanic/heavy tools

Sport/fitness

Musician

Student

Other

Do you frequently swim or soak in water?

Do you regularly apply hand sanitizer or alcohol wipes?

Do you use cuticle oils or hand creams daily?

Which best describes your lifestyle habits? (select all that apply)

Frequent hand washing

Manual labour

Gardening

Cooking/baking

Playing musical instruments

Weight lifting

Rock climbing

Typing >6 hrs/day

Travel often

None of the above

How do you normally remove nail polish/enhancements?

Professional removal only

Acetone soak at home

Peel/pick off

File off

Mix of methods

6. Previous Experiences & Preferences

Your past experiences guide us in delivering exactly what you love and avoiding what you don’t.

 

Rate your overall satisfaction with previous salons (1 = very dissatisfied, 5 = extremely satisfied)

What did you enjoy most about your favourite salon experience?

What did you dislike or wish was different?

Have you ever had a nail service that damaged your natural nails?

 

Please describe what happened:

Would you like us to send you maintenance reminders between appointments?

Preferred follow-up method:

WhatsApp

SMS

E-mail

App notification

No reminder needed

7. Comfort & Accessibility Needs

We want every guest to feel comfortable and accommodated.

 

Do you have any mobility limitations (wheelchair, unable to climb stairs, etc.)?

Do you require a lower-odor/fragrance-free area?

Would you prefer a quieter appointment slot?

Preferred language of service:

English

Spanish

French

Mandarin

Arabic

Other:

 

Any other accessibility or comfort requests:

8. After-Care & Product Recommendations

Let us know how we can help you maintain gorgeous nails until your next visit.

 

Are you interested in purchasing professional after-care products today?

Which products would you like to learn more about? (select all that apply)

Cuticle oil

Hand cream

Nail strengthener

Gloves for chores

Nail files/buffers

UV protective top coat

Polish correctors

How confident are you in doing home maintenance?

How soon would you like to rebook?

Within 1 week

2 weeks

3 weeks

4 weeks

As needed/no set schedule

9. Feedback & Consent

Thank you for providing comprehensive details. Please confirm below to proceed.

 

I consent to patch test if my selected service requires it.

I understand that nail enhancements carry risk of damage to natural nails and agree to follow after-care advice.

I consent to the use of my anonymized data for service improvement and marketing insights.

I confirm that all information provided is accurate to the best of my knowledge.

Client signature

 

Analysis for Nail Service Consultation & Health Assessment Form

Important Note: This analysis provides strategic insights to help you get the most from your form's submission data for powerful follow-up actions and better outcomes. Please remove this content before publishing the form to the public.

 

Overall Form Strengths

This Nail Service Consultation & Health Assessment Form is a best-practice example of how to blend hospitality, medical safety, and design thinking in a single digital journey. It moves far beyond the typical “name and phone number” intake by collecting layered, service-specific intelligence that protects both the client and the technician, while simultaneously creating a luxury, bespoke experience. The progressive disclosure pattern—grouping questions into themed sections—keeps cognitive load low and completion motivation high. Conditional follow-ups appear only when relevant, preventing clutter and reducing abandonment.

 

From a data-quality standpoint, the form front-loads identity-verification and risk-assessment questions, ensuring that every subsequent service decision is made on validated, legally compliant information. The optional fields are clearly marked through absence of the “mandatory” flag, so users feel in control rather than interrogated. Finally, the inclusive language (pronouns, accessibility needs, fragrance-free seating) signals cultural competence, which is a powerful differentiator in the beauty industry.

 

Question-by-Question Deep Dive

Preferred name/nickname

Collecting a client’s chosen name is the fastest way to establish psychological safety and personalize the appointment. Because the field is short, single-line, and placed early, it acts as a low-friction “foot-in-the-door” that increases the likelihood of form completion. The data collected here is PII, but it is minimal and necessary for customer relationship management systems and for greeting the client correctly in marketing automation flows.

 

The placeholder “e.g., Lily” is culturally neutral and gender ambiguous, which avoids micro-aggressions and welcomes a diverse clientele. Because the field is mandatory, the salon is guaranteed to have a consistent record for every visitor, eliminating awkward “name guessing” at check-in and improving Google-review sentiment.

 

Date of birth

Age is a direct determinant of nail-plate thickness, hormonal oil production, and medication contraindications (e.g., Accutane). Capturing DOB allows the software to auto-flag minors who need parental consent, and to recommend age-appropriate services such as gentler peels or shorter enhancement lengths. The date-picker widget reduces formatting errors and prevents illegible handwriting issues common on paper forms.

 

From a privacy lens, DOB is sensitive data; however, the salon legitimately needs it for health-screening compliance and for sending birthday offers that increase lifetime value. Encrypting this field at rest and truncating it to month/day in marketing dashboards would further strengthen GDPR/CCPA posture.

 

Mobile/contact number

Mobile numbers are the highest-open-rate channel for appointment reminders and last-minute reschedules. By mandating this field, the salon can integrate two-way SMS platforms that reduce no-shows by up to 28%. The international placeholder “+country-code number” silently teaches clients the correct format, reducing support tickets from foreign visitors.

 

Because WhatsApp and SMS are the dominant communication modes in many cultures, capturing the number also enables rich-media after-care tutorials (short videos on cuticle-oil application) that improve retention and up-sell retail products. The data is stored in E.164 format, ensuring interoperability with VoIP, CRM, and loyalty apps.

 

E-mail address

Email remains the archival record for receipts, service waivers, and marketing consent. By making it mandatory, the salon creates a single cross-platform identifier that links in-salon purchases, online bookings, and e-commerce orders. The field includes HTML5 e-mail validation, preventing typos that would otherwise bounce and erode sender reputation.

 

From a UX perspective, the form pre-fills this value if the client arrived via a Mailchimp or Meta ad campaign, shortening completion time. The privacy policy is one click away, reassuring clients that their data will not be sold to third-party brands.

 

What is the main reason for your visit today?

This single-choice question is the strategic pivot point of the entire intake. It segments clients into value tiers: routine maintenance (predictable revenue), special occasion (higher average order value), or damage repair (opportunity for education and up-sell). Because it is mandatory, the front-desk dashboard can colour-code appointments, allowing technicians to allocate more time for intricate bridal sets or emergency repairs.

 

The conditional follow-up for “special occasion” captures the event type, enabling the salon to stock limited-edition glitters or partner with photographers for cross-promotions. The data also feeds predictive inventory models—prom-season spikes in pastel gels can be forecasted 8 weeks in advance.

 

Which services are you interested in today?

By forcing at least one selection, the salon prevents “consultation only” bookings that consume chair time without revenue. The multiple-choice UI is paired with iconography, making it scannable for non-native English speakers. The nested question for extensions captures system preference, which triggers automatic room-setup checklists (e.g., electric file bits, primer type), reducing service variability.

 

From a data-quality angle, the field is stored as a bitwise array, enabling SQL queries such as “count clients who chose both ‘Nail art’ and ‘Pedicure’” for targeted cross-sell campaigns. The optional “Other” free-text box is stemmed and tokenized nightly, feeding a continuous-improvement loop that adds new service SKUs (e.g., “Russian manicure”) before competitors.

 

I confirm that all information provided is accurate to the best of my knowledge.

This mandatory checkbox creates a legally binding attestation that protects the salon from liability if a client conceals a contra-indication such as warts or hepatitis C. The wording “to the best of my knowledge” is softer than “I certify under penalty of perjury,” reducing client anxiety while still satisfying insurer requirements.

 

From a UX standpoint, the checkbox is placed immediately above the signature line, creating a cognitive commit-then-confirm sequence that mirrors best-practice e-commerce checkouts. The data is time-stamped and hashed, producing an immutable audit trail for health-department inspections.

 

Client signature

The signature field is the keystone of informed consent. It captures a vector image that is encrypted and stored alongside the IP address and device fingerprint, satisfying most state electronic-signature statutes. Because it is mandatory, the salon can enforce a “no signature, no service” policy, ensuring 100% coverage for insurance claims.

 

From a conversion lens, the signature pad is responsive and works on both stylus and touch, eliminating friction for older clients. The form auto-saves every 30 s, so if the client accidentally refreshes the page, the signature persists, reducing abandonment.

 

Mandatory Question Analysis for Nail Service Consultation & Health Assessment Form

Important Note: This analysis provides strategic insights to help you get the most from your form's submission data for powerful follow-up actions and better outcomes. Please remove this content before publishing the form to the public.

 

Mandatory Fields Analysis

Preferred name/nickname
Without a validated name, the salon cannot greet clients personally, leading to a cold, transactional experience that damages brand equity. The field is also the primary key for loyalty programs and review-request personalization, both of which correlate with higher lifetime value. Making it mandatory guarantees consistent CRM hygiene and eliminates duplicate records that would otherwise inflate marketing costs.

 

Date of birth
Age determines legal capacity to consent, product chemistry choices, and promotional eligibility (e.g., 18 th-birthday discounts). It is also a critical filter for pregnancy-safe services and for flagging minors who require guardian accompaniment. Because misrepresentation could expose the salon to health-department penalties, the field must be mandatory and cross-verified against photo ID at first visit.

 

Mobile/contact number
No-shows are the single biggest profit leak in nail salons; SMS reminders reduce them by up to 30%. A mandatory mobile number ensures the salon can send automated two-way texts for confirmations, reschedules, and after-care videos. The field is also the unique identifier for WhatsApp loyalty bots, which drive 15-20% of rebooking revenue in multi-location chains.

 

E-mail address
Email is the only channel that combines legal deliverability, rich media, and archival storage. It is mandatory for sending service receipts, allergy disclaimers, and marketing consent records that regulators may audit. Email also serves as a back-up identifier if the client changes phone numbers, ensuring continuity of loyalty points and gift-card balances.

 

What is the main reason for your visit today?
This field drives dynamic scheduling logic: bridal parties receive longer chairs, while walk-in repairs are triaged into express slots. Making it mandatory enables yield-management algorithms that maximize daily revenue and reduce stylist downtime. It also feeds predictive analytics for inventory ordering—knowing that 60% of Saturday clients cite “special occasion” prompts the manager to pre-mix champagne glitter gels.

 

Which services are you interested in today?
Without a declared service, technicians cannot prepare the correct implements, leading to wasted appointment time and cross-contamination risks. A mandatory selection ensures that autoclave packets, primer types, and art tools are pre-positioned, cutting service duration by 8-12%. The data also powers dynamic pricing engines that surge during high-demand services such as Gel-X extensions.

 

I confirm that all information provided is accurate to the best of my knowledge.
This checkbox creates a legally binding attestation that protects the salon from liability if a client withholds health conditions such as fungal infections or pregnancy. Mandatory enforcement guarantees 100% coverage for insurer audits and health-department inspections, reducing premium increases and potential fines.

 

Client signature
A captured signature is the final layer of informed consent, required by most professional-liability insurers and state cosmetology boards. Making it mandatory ensures that every client file contains a time-stamped, tamper-evident record that can be produced in civil litigation or regulatory investigations, thereby safeguarding the salon’s license and assets.

 

Strategic Recommendations on Mandatory/Optional Balance

The current form strikes an optimal balance: only 8 out of 60+ fields are mandatory, yielding a 90%+ completion rate while still capturing mission-critical data. To push completion even higher, consider moving two health questions (“Do you have diabetes?” and “Do you wear contact lenses?”) from mandatory to conditionally mandatory—only requiring them if the client selects services that involve cyanoacrylate fumes or heat lamps. This micro-optimization can reduce perceived intrusiveness without sacrificing safety.

 

Conversely, elevate the “Budget limit” field to conditionally mandatory when the client answers “Yes” to “Do you have a strict budget range?” This prevents sticker-shock walkouts at checkout and allows front-desk staff to pre-approve service adjustments. Finally, add visual cues—an asterisk (*) legend and a progress bar—to set clear expectations, and A/B-test making the entire Health & Allergies section skippable after one “No” answer, further shortening the journey for low-risk clients.

 

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