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Facial Treatment Client Intake & Skin Consultation

A pre-appointment intake for estheticians, spas, and skincare clinics that captures skin type, primary concerns, safety-relevant history (retinoids, recent peels, allergies), and treatment goals — with an AI follow-up that digs into the story behind the client's main concern so the esthetician walks in prepared, not guessing.

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샘플 질문

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질문 14개 · 약 7분
Q01
메시지

Welcome! Before your facial, we'd like to get to know your skin a bit. Your responses are completely confidential and anonymized. This takes about 8 minutes and helps your esthetician tailor the treatment and avoid anything that could irritate your skin.

Q02
객관식필수

How would you describe your skin type most days?

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

Which skin concerns would you most like this appointment to address? Select all that apply.

  • Acne or breakouts
  • Fine lines and wrinkles
  • Uneven tone or dark spots
  • Redness or rosacea
  • Dullness or lack of glow
  • Rough texture or clogged pores
  • Dehydration or tightness
  • Large pores
Q04
평점 척도필수

How severe would you say your main concern is right now?

범위: 1 – 5
최소:Barely noticeable최대:Very severe
Q05
장문형

Walk us through your current skincare routine (products, frequency, and any active ingredients like retinol, vitamin C, or exfoliating acids).

Q06
객관식필수

Have any of the following applied to you in the last 2 weeks? This helps us avoid treatments that could irritate your skin.

  • Used prescription retinoids (e.g., tretinoin)
  • Taken Accutane/isotretinoin in the last 6 months
  • Had a chemical peel, microneedling, or laser treatment
  • Had Botox or filler injections
  • Been in the sun without protection for an extended period
  • Had a cold sore or active skin infection
Q07
장문형

Do you have any known allergies or sensitivities to skincare ingredients, fragrances, or essential oils we should know about?

Q08
의견 척도필수

Overall, how satisfied are you with the current state of your skin?

척도: 1 – 7
최소:Very dissatisfied최대:Very satisfied
Q09
순위 매기기필수

Rank these outcomes in order of what you'd most like to get out of today's facial.

  1. Clearer, less congested skin
  2. Reduced fine lines or firmness
  3. Even, brighter tone
  4. Deep hydration
  5. Calmer, less reactive skin
  6. A relaxing self-care experience
드래그하여 순위 지정
Q10
AI 인터뷰

Explore the story behind the client's top-ranked concern: when it started, what they've already tried, and what a 'successful' facial would look or feel like to them. If they flagged any recent treatment, medication, or allergy in the safety screening, confirm the specific product/timeframe and ask if they've had a reaction to facials before. Keep the tone warm and non-clinical, like a trusted esthetician asking follow-up questions before service.

Q11
동의

Before/after photo consent

Q12
객관식

What's your age range?

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

How would you describe your gender?

  • Woman
  • Man
  • Non-binary
  • Prefer to self-describe
  • Prefer not to say
Q14
메시지

Thank you for sharing all of this! Your answers go straight to your esthetician so they can personalize today's facial and steer clear of anything that might irritate your skin.

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.

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이 템플릿을 선택하는 이유

  • Goes beyond static fields by using an AI follow-up interview that explores the story behind the client's top-ranked concern (onset, triggers, what's been tried) so the esthetician isn't guessing.
  • Captures safety-relevant history in the same flow — recent peels/retinoid use, allergies and sensitivities — alongside skin type, concerns, and a severity rating.
  • Uses a ranking question to force clarity on which outcome matters most, then feeds that directly into the AI probe, rather than leaving multiple selected concerns equally weighted.
  • Includes built-in consent handling for before/after photos and closes with a clear hand-off message, so the whole intake-to-esthetician pipeline is transparent to the client.

Jotform

Facial Treatment Client Intake Form Template

A dedicated, fielding-ready facial intake form covering standard skin history and concern fields. It's a static form builder template, well-suited for basic paperwork replacement but not designed to probe further into a client's answers. Good for spas wanting a quick, customizable form rather than deeper client insight.

잘하는 점

  • Purpose-built for facial/esthetician intake, so field language matches the use case
  • Jotform's drag-and-drop builder allows easy customization of fields
  • Likely supports e-signature/consent-style fields common to intake forms

아쉬운 점

  • Static question set with no adaptive follow-up into the client's specific concern
  • No automated quality scoring of open-ended responses
  • No voice-based interview option for clients who prefer speaking over typing

SurveySparrow

Free Facial Client Intake Form Template | Printable

A conversational-style facial intake template, explicitly offered free and printable, aimed at spas collecting basic client info before treatment. It leans toward a friendlier chat-like UI for form-filling but remains a fixed question sequence rather than an interview. Reasonable for simple pre-appointment paperwork.

잘하는 점

  • Facial-specific template with a conversational UI style
  • Offered free and explicitly printable, useful for paper-based intake at the front desk
  • Likely simple to deploy without extensive setup

아쉬운 점

  • No adaptive AI questioning to dig into the story behind a client's main concern
  • No transparent methodology or published prompt logic since there's no AI interview layer
  • No automated per-response quality scoring of intake answers

Typeform

Facial Intake Form Template

A polished, conversational one-question-at-a-time facial intake template, matching Typeform's known strength in form UX. It's a fixed-flow template, not an adaptive interview, so it collects the same set of answers regardless of what a client discloses. Solid for a clean-feeling client-facing form.

잘하는 점

  • Facial-specific template with strong, well-known form design/UX
  • One-question-at-a-time flow reduces client fatigue
  • Easy to embed on a spa's booking or website flow

아쉬운 점

  • No adaptive AI follow-up interview to explore the story behind stated concerns
  • No voice AI interview option
  • No automated scoring or auto-generated report summarizing client readiness for the esthetician

SurveyMonkey

Client Intake Form Template

This is a generic client intake template, not specific to facials or skincare, so it likely needs significant editing to cover skin type, retinoid/peel history, and allergy fields relevant to esthetician appointments. It's a fielding-ready survey template but for general service-business intake rather than this niche.

잘하는 점

  • Backed by SurveyMonkey's general survey infrastructure and familiar builder
  • Broad template structure adaptable to many client-facing businesses
  • Straightforward to launch as a basic questionnaire

아쉬운 점

  • Not tailored to facial/skincare specifics like retinoid use, peels, or skin type out of the box
  • No adaptive AI interview or voice AI option to explore a client's concern in depth
  • No automated per-response quality scoring or auto-generated report for the esthetician

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