Lash Extension Client Intake & Consultation Survey

Welcome! Before your lash appointment, we'd love a few quick details about your eyes, skin, and the look you're going for so your artist can prep safely and get it right the first time. Your responses are completely confidential and anonymized. About 7 minutes.

Have you had eyelash extensions applied before?

• No, this is my first time
• Yes, occasionally
• Yes, I get regular fills/refills
• Not sure

Do you have any known allergies or sensitivities to any of the following?

• Latex
• Lash adhesive/glue (cyanoacrylate)
• Fragrances or perfumes
• Numbing or antihistamine eye drops

Which of the following currently apply to you? (Select all that apply)

• I wear contact lenses
• I've had eye surgery in the last 6 months
• I use retinol or other active skincare near my eyes
• I have a history of styes, conjunctivitis, or eye infections
• I am pregnant or breastfeeding
• I am currently taking blood thinners

How would you describe your natural lashes?

• Strong and thick
• Normal/average
• Fine, sparse, or brittle
• Not sure

What look are you hoping to achieve with your lash extensions?

• Natural and subtle
• Wispy/textured
• Full glam/dramatic
• Not sure — open to my artist's recommendation

If you've had lash extensions before, how would you rate how long they typically lasted before you needed a fill?

Which of these are part of your regular routine? (Select all that apply)

• I swim regularly
• I use oil-based cleansers or moisturizers near my eyes
• I sleep on my side or stomach
• I use saunas or steam rooms regularly
• I wear eye makeup most days
• I rub or touch my eyes often

Explore the respondent's true expectations and history with lash extensions: if they've had them before, ask what they loved, what went wrong (irritation, poor retention, style regret), and why they're returning or switching artists. If it's their first time, probe what's driving them to try extensions now and any anxieties about the process, pain, or maintenance. Anchor follow-ups on their stated style goal and lifestyle habits to surface any mismatch between what they want and what's realistic for their eyes and routine.

Please upload a close-up photo of your bare natural lashes (no makeup, no extensions) so your lash artist can plan the right length, curl, and thickness.

Before-and-after photo/video consent

What's your age range?

• Under 18
• 18-24
• 25-34
• 35-44
• 45-54
• 55-64
• 65+
• Prefer not to say

Thank you! Your answers go straight to your lash artist to help them choose safe products and the right style before your appointment starts. See you soon!