QuestionPunkQuestionPunk
무료로 시작하기
모든 템플릿

Esthetician Client Skin Intake & History Survey

A pre-appointment intake for estheticians and skincare studios that captures skin type, concerns, allergies, contraindications, and treatment goals before a first visit — with an AI follow-up that digs into any past reactions or unclear answers so the esthetician walks in fully briefed instead of re-asking basics on the table.

이 템플릿 사용하기템플릿 더 둘러보기

샘플 질문

템플릿에 포함된 내용을 미리 확인해 보세요. 모든 질문은 설문 공개 전에 자유롭게 수정할 수 있습니다.

질문 13개 · 약 7분
Q01
메시지

Welcome! Before your appointment, we'd like to learn a bit about your skin, history, and goals so your esthetician can tailor your treatment safely. This takes about 5 minutes, and everything you share stays in your confidential client file.

Q02
객관식필수

How would you describe your skin type?

  • Oily
  • Dry
  • Combination
  • Normal
  • Sensitive
  • Not sure
Q03
객관식필수

What skin concerns would you like addressed? Select all that apply.

  • Acne or breakouts
  • Fine lines or wrinkles
  • Hyperpigmentation or dark spots
  • Redness or rosacea
  • Dullness or uneven texture
  • Enlarged pores
  • Dehydration or dryness
Q04
객관식필수

Do you have any known allergies or sensitivities to skincare ingredients (e.g., fragrance, essential oils, retinoids, latex)? Select all that apply.

  • Fragrance or essential oils
  • Latex
  • Retinoids (e.g., Retin-A, retinol)
  • Chemical exfoliants (AHA/BHA)
  • Certain metals or adhesives
Q05
장문형필수

List any prescription skincare, oral medications, or recent procedures that could affect your treatment (e.g., Accutane, Retin-A, chemical peels, blood thinners, recent Botox or filler).

Q06
객관식필수

Are you currently pregnant, nursing, or managing any skin condition (e.g., eczema, active infection) your esthetician should know about before treatment?

  • Yes
  • No
  • Prefer not to say
Q07
객관식

Which professional skincare treatments have you had in the last 12 months? Select all that apply.

  • Chemical peel
  • Microdermabrasion or dermaplaning
  • Laser or light therapy
  • Injectables (Botox or filler)
  • Facial extractions
Q08
의견 척도필수

In the last 30 days, how often did you wear sunscreen on days you were outside for more than 7 minutes?

척도: 1 – 5
최소:Never최대:Every day
Q09
최선·최악 선택형(MaxDiff)필수

When it comes to your skin, which goals matter most to you right now?

  • Reduce acne or breakouts
  • Minimize fine lines and wrinkles
  • Even out skin tone
  • Calm redness or sensitivity
  • Improve hydration
  • Refine pore appearance
  • Achieve an overall healthy glow
세트별 최선·최악 선택최선:Most important to me최악:Least important to me
Q10
AI 인터뷰

Probe the respondent's most important skin goal and any allergy, medication, or condition they flagged: ask what specifically triggered past reactions or breakouts, how their skin responded to their most recent professional treatment, and what 'success' would look like for them after a series of appointments. If they said 'not sure' about skin type or left history vague, ask concrete questions (how their skin feels by midday, whether it changes seasonally) to pin it down before treatment.

Q11
동의필수

Before/after photo consent

Q12
객관식

What is your age range?

  • 18-24
  • 25-34
  • 35-44
  • 45-54
  • 55-64
  • 65+
  • Prefer not to say
Q13
메시지

Thank you for sharing your skin history with us! Your esthetician will review this before your appointment so your first session can start with a treatment plan, not a questionnaire.

포함된 기능

  • AI 후속 질문

    정형화된 설문이 놓치는 세부 내용을, 주관식 답변에 맞춰 AI가 심층 질문으로 끌어냅니다.

  • 주의력 확인 장치

    성의 없는 답변과 저품질 응답자를 걸러내는 내장 안전장치입니다.

  • AI가 작성한 문안

    문구, 질문 순서, 분기 로직까지 AI가 연구 목표에 맞춰 작성합니다.

  • 자동 리포트

    응답이 모이면 주요 주제, 인용문, 이해하기 쉬운 요약이 자동으로 작성됩니다.

다른 서비스와 비교

다른 설문 도구의 가장 유사한 템플릿을 검토했습니다. 그 도구들이 잘하는 점과, 이 템플릿이 한발 더 나아가는 지점을 정리했습니다.

이 템플릿을 선택하는 이유

  • Captures skin type, concerns, allergies, contraindications, recent procedures, and treatment goals in one structured intake before the appointment
  • Includes an AI follow-up interview that probes the respondent's top skin goal and digs deeper into any flagged allergy, medication, or reaction detail instead of leaving it as a vague text answer
  • Uses a max-diff exercise to force-rank what the client actually cares about most, plus a dedicated before/after photo consent step and pregnancy/skin-condition screening question
  • Ends with a clear, friendly close so the esthetician walks into the first appointment already briefed instead of re-asking basics on the table

Jotform

Esthetician Client Intake Form Template

A static, fielding-ready intake form template specifically built for estheticians, likely covering skin type, concerns, and basic history fields. It sits inside Jotform's large form-builder library with standard drag-and-drop customization. There's no indication of any adaptive follow-up beyond fixed form logic.

잘하는 점

  • Purpose-built for the esthetician audience
  • Backed by a mature, widely-used form builder with easy customization
  • Likely supports e-signature/consent-style fields common to intake forms

아쉬운 점

  • No adaptive AI follow-up to probe unclear allergy or reaction answers — respondents just fill fixed fields
  • No automated per-response quality scoring or AI-generated debrief report for the esthetician
  • No transparent, published interview-prompt methodology since it's a static form, not an interview

SurveySparrow

Free Esthetician Client Intake Form Template | Consultation Forms

A free, conversational-style intake template positioned under SurveySparrow's healthcare consultation forms category, aimed at capturing client skin history in a chat-like UI. It's a ready-to-field template rather than an adaptive interview. Being free is a plus, but depth of follow-up is limited to whatever branching logic is manually built in.

잘하는 점

  • Conversational one-question-at-a-time format that may feel friendlier than a plain form
  • Free to use, lowering the barrier for small studios
  • Positioned within a healthcare/consultation template category, suggesting relevant field coverage

아쉬운 점

  • No AI-driven follow-up that adapts to a specific allergy or reaction mentioned — only pre-set branching, if any
  • No automated quality scoring of responses or auto-generated summary report
  • No voice AI interview option for clients who prefer speaking over typing

Typeform

Esthetician Client Intake Form Template

A polished, conversational one-question-per-screen template tailored to estheticians, well suited to a clean client-facing intake experience. It's a static template that relies on Typeform's standard logic jumps rather than true adaptive AI. Good for first-visit basics but not for probing follow-up on flagged concerns.

잘하는 점

  • Clean, mobile-friendly conversational UI well matched to client-facing intake
  • Esthetician-specific template, so field set should already match the use case
  • Established logic-jump features for basic conditional branching

아쉬운 점

  • No AI follow-up interview capable of digging into vague or concerning answers in real time
  • No per-response quality scoring or automated report generation for the esthetician
  • No transparent published prompt/methodology since there is no AI interviewing layer

SurveyMonkey

Client Intake Form Template

This is a generic client intake form template, not one built specifically for estheticians or skincare history, so it would need meaningful customization to cover skin type, allergies, or contraindications. It's a static, fielding-ready form from a broad survey platform rather than a niche or adaptive tool. Useful as a generic starting point but not purpose-built for this audience.

잘하는 점

  • Backed by a well-known, broadly capable survey platform
  • Easy to customize generic intake fields for many industries
  • Straightforward reporting/analytics on standard question types

아쉬운 점

  • Not esthetician- or skincare-specific out of the box, unlike a purpose-built skin intake template
  • No adaptive AI follow-up to probe allergy, medication, or reaction details
  • No automated quality scoring or AI-generated summary report for the practitioner

설문을 공개할 준비가 되셨나요?

이 템플릿을 편집기에서 열어 보세요. 첫 응답자가 보기 전에 모든 부분을 원하는 대로 바꿀 수 있습니다.

Use this template무료로 시작하기