Page 1 of 2
Korean Lash Lift Consultation
Please complete before your appointment. Your answers help me understand your lash history, sensitivities and treatment preferences.
YOUR DETAILS
*
*
*
*
YOUR LASH HISTORY AND PREFERENCES
Have you had a Korean lash lift or lash lift before?
*
A
Yes
B
No
If yes, when was your most recent treatment?
*
Have you ever had a reaction to a lash lift, tint, adhesive or eye product?
*
A
Yes
B
No
What result are you hoping for?
*
A
Natural
B
Lifted
C
Very lifted
D
Not sure
HEALTH AND SENSITIVITY CHECK
Please tick anything that applies:
*
Current eye irritation, infection, inflammation or excessive watering
Known allergy or sensitivity to lash lift/perming products, tint, adhesives or cosmetics
Previous reaction to a lash or eye-area treatment
Eye condition, recent eye surgery or another eye-related concern
Lashes are currently damaged, unusually weak or recently treated
Contact lenses worn (please remove before treatment)
None of these apply
Please give details, including allergies, reactions, eye concerns or relevant medication:
*
PATCH TEST
*
*
Patch test status:
*
A
Completed as required
B
Not yet completed
I understand a negative patch test cannot guarantee that a reaction will not occur.
CONSENT AND TREATMENT RECORD
I confirm that the information I have provided is accurate and complete. I will tell my technician if anything changes before my appointment.
*
A
I agree
I understand that a patch test must be completed in line with the product manufacturer’s instructions and The Lash Edit’s patch test policy before treatment. A negative result does not guarantee that a reaction will not occur.
*
A
I understand
I understand the treatment may be postponed or declined if my answers, lash condition or patch test result indicate it may not be suitable on the day.
*
A
I understand
I have had the opportunity to ask questions and understand that results vary from person to person. I agree to follow the aftercare instructions provided.
*
A
I agree
Please tick to confirm:
*
A
I consent to a Korean Lash Lift treatment today.
B
I do not consent to treatment today.
Client signature
*
*
OPTIONAL PHOTO CONSENT
May I take before-and-after photos for your treatment record?
*
A
Yes
B
No
May I share photos on The Lash Edit’s social media?
*
A
Yes
B
No
Next