Welcome to Melaskiin!
*
Hi I'm Patience, the owner and service provider at Melaskiin ✨ If it's your first time with me I can't wait till we officially meet, and if you're a returning client I can't wait to see you again! Before our appointment, take a few minutes to fill out this consent form that goes over some personal information, questions about your skin, and Melaskiin's policy agreement.
Every new guest starts their Melaskiin journey by completing a digital consultation form before booking. This step is essential because it allows me to understand your skin before you walk through the door and ensure that your appointment is tailored to you.
If you have any questions or require assistance, don't hesitate to contact us via email at melaskiinstudio@gmail.com.
**If you're looking to schedule an appointment at a time that's not available during our regular hours contact us so we can try to make time.
I've read all the information above
Name
*
First Name
Last Name
Pronouns
*
Phone
*
Please note, this will be used for appointment reminders and confirmation.
(###)
###
####
Address
*
This will only be used for occasional thank you and holiday cards, not for promotional reasons.
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Birthday
*
During your birthday month Melaskiin celebrates you with specials discounts and deals!
MM
DD
YYYY
What do you do for work?
How did you hear about Melaskiin?
*
Google
Instagram
Tiktok
Facebook
Family or Friend
Other
What type of service are you coming to Melaskiin for?
Facial Services
Waxing Services
When was the last time you had an esthetics service? (includes facials and waxing)
*
In the last 4 weeks
1-2 months ago
3-5 moths ago
6+ months ago
I'm completely new to esthetics services
What would you say your skin type is?
*
Oily
Dry/Dehydrated
Acneic
Sensative
Combination
Normal
How many times a week would you say you complete a skin care routine?
I don't have any type of skincare routine
1-2 times a week
3-4 times a week
Everyday
How many times a week would you say you complete a body care routine?
I don't have a body care routine
1-2 times a week
3-4 times a week
Everyday
Tell me a little bit about why you're booking this service
*
What are your skin goals and priorities?
*
Is there anything about your skin you feel like you want to disclose before our service?
*
Are you...
*
on accutane
pregnant or trying to get pregnant
currently using exfoliating products with AHAs and BHAs
n/a
Does Melaskiin have permission to use your face for content purposes?
*
Yes!
I'd prefer any photos taken only be used for progress reasons and not content
I acknowledge that I must adhere to Melaskiin's policies. I understand that cancellations must be done with at least 24 hours notice. Failure to do so will result in the loss of a service and a 60% of the total service cost. I acknowledge that a no show will result in the loss of a service and 100% of the total service cost. This also may result in being banned from booking future appointments. I understand that after 15 minutes of tardiness without notice, my appointment may be subject to cancellation and I will be responsible in accordance with the " No-show" policy.
*
I've read, understand, and agree to the previous section