Complete Combined List of 22 Sample Questions

Here is a combined reference list for quick copying:

1. Do you have any known allergies?

2. Have you taken any treatments in the past 3 months?

3. Which areas of your skin feel sensitive?

4. Preferred pressure level for massage?

5. Patch test done in last 48 hours?

6. Pregnant or breastfeeding?

7. Understand that results may vary?

8. Do you consent to proceed?

9. List any allergies.

10. Provide emergency contact details.

11. List any medications.

12. Specific instructions or concerns.

13. Comfort level before service (Stars).

14. Previous experience rating (Stars).

15. Pain level rating (Stars).

16. How do you feel about today's service? (Emoji)

17. Skin condition today? (Emoji)

18. Feeling about expected results? (Emoji)

19. Skin sensitivity (Scale 1–10).

20. Pain threshold (Scale 1–10).

21. Familiarity with service (Scale 1–10).

22. Expected improvement level (Scale 1–10).

1. Multiple Choice — Sample Questions + Options

Q1. Do you have any known allergies?

• No allergies

• Hair color allergy

• Skin product allergy

• Fragrance allergy

• Medication allergy

Q2. Have you taken any of the following treatments in the past 3 months?

• Hair smoothening

• Keratin

• Global hair coloring

• Chemical peel

• None of the above

Q3. Which areas of your skin feel sensitive today?

• Cheeks

• Forehead

• Jawline

• Nose

• Neck

• None

Q4. What is your preferred pressure level for massage?

• Light

• Medium

• Deep

2. Single Choice — Sample Questions + Options

Q5. Have you undergone a patch test in the last 48 hours?

• Yes

• No

Q6. Are you pregnant or breastfeeding?

• Yes

• No

• Not applicable

Q7. Do you understand that results may vary for each individual?

• Yes, I understand

• No

Q8. Do you consent to proceed with today’s service?

• Yes

• No

3. Short Answer — Sample Questions

Q9. Please list any allergies or sensitivities we should know about.

(Client types free-form)

Q10. Please provide the name and phone number of your emergency contact.

(Client types free-form)

Q11. Mention any medications you are currently taking.

(Client types free-form)

Q12. Please add any specific instructions or concerns before the service.

(Client types free-form)

4. Star Rating (1–5) — Sample Questions

Q13. How would you rate your comfort level before starting the service?

⭐ ⭐ ⭐ ⭐ ⭐

Q14. How would you rate your previous experience with this service?

⭐ ⭐ ⭐ ⭐ ⭐

Q15. Rate your pain or discomfort level right now.

⭐ ⭐ ⭐ ⭐ ⭐
(1 = No pain, 5 = Severe discomfort)

5. Emoji Rating — Sample Questions

Q16. How are you feeling about today’s service?

? ? ? ?

Q17. How would you describe your skin condition today?

? Healthy
? Normal
? Sensitive
? Irritated

Q18. How do you feel about the expected results?

? Excited
? Confident
? Neutral
? Unsure

6. Scale Rating (1–10) — Sample Questions

Q19. On a scale of 1–10, how sensitive is your skin today?

(1 = Not sensitive, 10 = Highly sensitive)

Q20. Rate your pain threshold level.

(1 = Very low, 10 = Very high)

Q21. On a scale of 1–10, how familiar are you with this service?

(1 = First time, 10 = Very experienced)

Q22. How much improvement are you expecting from this service?

(1 = Very little, 10 = Major transformation)

7. Thank You Note — Sample Messages

Ending Note 1

Thank you for completing the consent form. Your safety and comfort are our top priority.

Ending Note 2

Thank you for your responses. We will proceed with your service based on the information provided.

Ending Note 3

Thank you! Please follow all aftercare instructions for best results.

8. Sample Social Media Questions

Here are ready-to-use examples:

1. Where would you like to leave a review for today’s service?
   Options (Select Review Type):

   • Google Review

   • Facebook Review

   • Instagram DM

   • WhatsApp Feedback

2. Would you like us to share the review link for your preferred platform?
   Options:

   • Google

   • Facebook

3. Which social platform do you use most frequently?
   Options:

   • Instagram

   • Facebook

   • TikTok

Sample Note Messages

Before the service

• Please inform your therapist if you have any ongoing skin concerns or medications.

• Certain services may cause mild redness for 24–48 hours.

During the form

• Your responses will help us customize the service for your safety and comfort.

• If you feel discomfort at any stage, notify the staff immediately.

After the service

• Avoid sun exposure and apply sunscreen regularly.

• Refrain from using active ingredients like retinol for 48 hours.