What is the lash extension consultation form template?
Lash adhesive sits right next to the eye, so lash artists need to know about recent infections, eye surgery, dry eye and any history of reactions before they start. A consultation form also records the client's choice on a patch test, which matters if a reaction happens later.
This template has four pages. Clients give contact details, date of birth, appointment date and whether they've had extensions before. The health page covers eye conditions, contact lenses, allergies, previous reactions to lashes, lifts or tints, pregnancy and sleeping position, with notes when something needs discussing. The look page records style, eye shape effect, length, curl and an inspiration photo. The last page records the patch test (declining requires a separate acknowledgement), explains what to expect and the aftercare, then takes consent, photo permission, a signature and the artist's lash map notes.
Each consultation is saved as a signed PDF in your FileIt vault.
- Best for
- Lash artists, beauty salons, brow and lash bars
- Filled in by
- The client before their first appointment, with artist notes at the end
- Time to complete
- About 5 minutes
- Includes
- Eye condition and allergy checklists, patch test choice, risks and aftercare text, signature
Who uses a lash extension consultation form?
- A new client completes the form before a first classic set
- A lash artist records a declined patch test
- A client switching from another salon shares their history
- A salon checks for recent eye surgery before treatment
- An artist saves a lash map for infill appointments
- A brow and lash bar replaces paper consultation cards
Questions on this lash extension consultation form
28 questions over 4 pages · includes signature, file upload, conditional questions, multiple pages, consent checkbox.
1 About you
- Client name*
- Phone*
- Date of birth*
- Appointment date*
- Have you had lash extensions before?* Never · Yes — with us · Yes — elsewhere
- Are you wearing extensions now?* asked only when it applies
- Who applied them, and when? asked only when it applies
2 Eye health & allergies
- Do any of these apply to you?* Eye infection or conjunctivitis now or recently · Blepharitis or styes · Dry eye or watery eyes · Glaucoma or eye pressure treatment · Eye surgery in the last 6 months (including laser) · Thyroid condition · Hair loss condition (e.g. alopecia, trichotillomania) · Chemotherapy now or recently · None of these
- Do you wear contact lenses?*
- Known allergies or sensitivities* Cyanoacrylate (lash or nail glue) · Latex · Medical or surgical tape · Formaldehyde · Hair dye or tint · Cosmetics or skincare · None known
- Have you ever had a reaction to lash extensions, lifts or tints?*
- What happened?* asked only when it applies
- Are you pregnant or breastfeeding?
- How do you usually sleep? On my back · On my side · On my front
3 The look you want
- Style you'd like* Classic (one extension per lash) · Hybrid · Volume · Mega volume · Not sure — advise me
- Look Natural · Doll eye (longest in the middle) · Cat eye (longest at the outer corner) · Open or squirrel · Not sure
- Length Short and subtle · Medium · Long and dramatic
- Curl Natural (J or B) · Medium (C) · Strong (D or L) · Not sure
- Inspiration photo
4 Patch test & consent
- Patch test* I've had a patch test with this salon · I'd like a patch test now and to book my set at least 24-48 hours later · I decline a patch test
- Date of patch test asked only when it applies
- Declining a patch test* asked only when it applies
- Consent to treatment*
- Aftercare*
- May we take before and after photos for our portfolio?
- Client signature*
- Lash artist notes (salon use)
The lash extension consultation form, page by page
1 About you
Client name, phone, date of birth and appointment date are required, with optional email. Whether they've had extensions before; if so, whether they're wearing a set now and who applied it.
2 Eye health & allergies
A required checklist of eye and health conditions; anything other than 'None of these' shows a note that treatment may be adapted or postponed. Contact lenses (a yes shows a note to remove them), allergies including cyanoacrylate, latex and tape, and any previous reaction, which asks what happened. Optional pregnancy and sleeping position questions.
3 The look you want
A required style from classic to mega volume, plus optional look, length, curl and up to two inspiration photos.
4 Patch test & consent
Whether the client has had a patch test, wants one first, or declines; declining needs a separate acknowledgement and 'done' asks for the date. Paragraphs explain what to expect and the aftercare. Required treatment consent and aftercare acknowledgement, photo permission, signature and artist notes.
Make the template yours
- Replace the risks and aftercare paragraphs with your own wording
- Change the patch test timing to match your insurer's requirements
- Add your infill prices to the aftercare paragraph
- Add lash lift or tint questions if you offer them
- Ask returning clients to update the form at least once a year
- Remove the sleep question if you don't use it for lash mapping
Tips for a better lash extension consultation form
- Check your insurer's patch test rules before you publish the form
- Read the reaction answers before the client lies down
- Keep a record of the adhesive batch used in the artist notes
- Send the form with the booking confirmation so it's done before arrival
- Have a qualified professional review the health questions
Every response becomes a PDF in your vault
Each consultation is saved as a signed PDF in your vault with any inspiration photos, and the salon is emailed. The client receives a copy when they give an email.
The Responses table shows patch test status and allergies at a glance, and you can search by client name before each appointment.
- Start from this template. It opens in the FileIt Forms designer — change any question, add pages, set the rules for when questions appear.
- Share it. Turn on a public link, or send it to people by email, each with their own link. They don’t need a FileIt account.
- Get the answers as PDFs. Each response is saved as a PDF in the vault folder you choose, with uploaded files attached — and listed in a Responses table you can export to CSV.
Lash extension consultation form: frequently asked questions
Is this lash extension consultation template free?
Yes. It's one of the Forms app's starter templates, available on every FileIt account, including the free plan.
Does the form decide whether a client can be treated?
No. It collects their answers. Your lash artist decides whether to treat, postpone or ask the client to check with a doctor.
What if a client won't have a patch test?
They choose 'I decline a patch test' and must agree to a separate acknowledgement of the extra risk.
Can I edit the aftercare instructions?
Yes. The aftercare and risks text are paragraphs you can rewrite in the designer.
Is the consent wording legally sufficient?
FileIt doesn't give legal advice. Check the wording with your insurer or adviser.
Does the client need a FileIt account?
No. They fill it in from a link.