Spa Consultation Form

Client Details


Medical Information


Emergency Contact Details


Lifestyle


Skin

Fitzpatrick skin types:

1) Very pale white skin, often with green or blue eyes and fair or red hair - burns without tanning
2) White skin, often with blue eyes - burns and does not tan easily
3) Fair skin with brown eyes and brown hair - burns first then tans
4) Light brown skin, dark eyes, and dark hair - burns a little and tans easily
5) Brown skin, dark eyes, and dark hair - easily tans to a darker colour and rarely burns
6) Dark brown or black skin, dark eyes, and dark hair - never burns but tans darker


Consent



Tap or click on the signature above to sign


SUBMIT

(disabled)