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Consultation Form

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Client Consultation

MANICURE & PEDICURE
Is this your first manicure/pedicure?
Yes
No
Have you ever experienced allergic reaction or irritation from any type of nail or skin product?
Yes
No
Do you take part in any hands-on hobbies or sports activities?
Yes
No

Please check any of the following medical or skin condition

Please choice
Allergies
Blood Born Disease
Athletes foot
Diabetes
Broken Skin
Calluses
Skin Irritation
Hemophilia
Nail Infection
Skin Inflammation
Recent Surgery
Corns
Arthritis
Swelling

How would you describe the typical condition of your nail

Please choice
Soft
Brittle
Split Easily
Hard
Flakey
Normal
Bendy
Snap Easily

**I declare that I have read this consultation form thoroughly and I understand every question asked. I believe I have no medical condition that may affect the treatment. All of the given answer is correct and true to the best of my knowledge.

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