Xtendalash Leading Eyelash Extensions and Brow artist in mascot NSW

First name

Last name

Phone

Email

Emergency Contact Name & Number:

How did you hear about Xtendalash?

Friend

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Please read:

I understand if my natural lashes are not in good health (e.g. very thin which may not hold an extension safely, very sparse etc), I should use a lash serum for at least 3-4 weeks before applying lash extensions.

Please answer YES or NO to the following:

Do you use any medications that cause hair loss?

Yes

No

Are you currently taking antibiotics?

Yes

No

Have you used a Lash Growth Serum in the past 4 weeks?

Yes

No

Yes & still continue to

Have you had a lash lift in the past 6 weeks?

Yes

No

Would you say you experience high levels of stress?

Yes

No

Do you use hormonal contraceptives?

Yes

No

Are you currently pregnant or breastfeeding?

Yes

No

Other

Do you wear glasses?

Yes

No

If you wear contact lenses please remove before your appointment.

Have you ever had Eyelash Extensions before?

Yes

No

Have you ever had a reaction or discomfort during/after an eyelash extension appointment?

Yes

No

If so, tell me how it felt?

Are you able to lie on your back for up to 2 hours?

Yes

No

Are you getting your eyelashes done for a special occasion? Let me know why below?

I confirm,

I have disclosed all necessary medical conditions, allergies, and sensitivities.

I understand that eyelash extensions require careful aftercare to maintain retention and eye health.

I confirm,

I understand that reactions are rare but possible, I will contact my lash artist if I experience any discomfort, swelling, or irritation.

I agree to follow all aftercare instructions provided to me. I understand its impotant for long term lash wearers to use specially formulated Eyelash Cleasner to be able to follow full aftercare instructions.

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