CLIENT INTAKE FORM

Basic Information

Welcome to SIMPLY DAWN! We are excited to help you achieve your beauty, skincare, and wellness goals! The information provided by you on this form is important and will help document allergies, sensitivities, or contraindications that may be present prior to receiving any treatment or beginning any program (whether spa or clinical). Your answers will affect the types of services, active product ingredients, and equipment modalities that can be safely used to provide services for you. PLEASE BE SURE THAT THE INFORMATION YOU PROVIDE IS ACCURATE AND THOROUGH. We want your experience to be exceptional, and we want to ensure that your treatments are safe and effective. Thank you for helping us set you up for success!

Name
Name
First
Last
Gender
Address
Address
City
State/Province