top of page
Country Beauty Client Consultation

Thank you for booking an appointment at Country Beauty. I look forward to welcoming you to the salon.

Please complete this form before your appointment so I can ensure your treatments are safe, suitable and tailored to your individual needs.

Country Beauty is a private, appointment-only salon for clients aged 18 and over.

A Little Note About Your Booking

Country Beauty is a small, independent salon, and every appointment slot is reserved exclusively for you. When appointments are changed or cancelled at the last minute, it is often too difficult to fill the space, which directly impacts my lively hood.


  • Notice Period: Please provide at least 48 hours’ notice for any cancellations, rescheduling, or changes to your treatment (including shortening or removing services).

  • Late Fees: Cancellations, changes, or no-shows with less than 48 hours’ notice may incur a charge of up to 100% of the appointment value, regardless of the reason (including illness or unexpected events).

  • Rescheduling: You may reschedule an appointment once with at least 48 hours’ notice, subject to availability.

  • Seasonal Terms: Special arrangements apply during December and periods of severe winter weather.


Thank you so much for respecting my time and supporting my small business—it truly means the world to me


Please read my full policy before booking:

Cancellation & Booking Policy

Section 1 - Client Details

Date of birth
Day
Month
Year

Section 2 - Medical Information

1 . Do you currently have any medical conditions?
No
Yes
2. Have you had any recent surgery, medical procedures or cosmetic treatments that may affect your treatment?
No
Yes
3. Are you currently under medical care?
No
Yes
4. Do you have heart conditions?
No
Yes
5. Do you have diabetes?
No
Yes
6. Do you have circulatory disorders?
No
Yes
7. Do you have epilepsy?
No
Yes
8. Do you have any skin conditions such as eczema, psoriasis or dermatitis?
No
Yes
9. Do you have any allergies?
No
Yes
10. Are you currently taking any medication or using prescribed skincare products that may affect your treatment?
No
Yes
11. Are you pregnant or breastfeeding?
No
Yes

Section 3 - Skin & Treatment Information

1. Have you had any recent injections (e.g. Botox or fillers) within the last 2 weeks?
Yes
No
2. Do you have sensitive or reactive skin?
No
Yes
3. Have you ever experienced a reaction to waxing, tinting, lash treatments, skincare products or any other beauty treatment?
No
Yes

Section 4 - Patch Testing

Certain treatments, including lash and brow tinting and lash lifting, require a mandatory patch test before treatment.

Where required, patch testing must be completed at least 48 hours before your appointment, or earlier if specified by the manufacturer's instructions.

Patch tests may need to be repeated depending on the treatment, product instructions or changes in your medical history.

If a required patch test has not been completed, I may be unable to carry out your treatment. Any applicable cancellation charges will be assessed in accordance with my Cancellation Policy.

Section 5 - Consent to Treatment

Section 6 - Data Protection

At Country Beauty, your personal information is treated with care and confidentiality. I collect and securely store personal information, including relevant health and medical information, to assess treatment suitability, provide safe and personalised treatments, manage appointments and maintain client records.

Your information may be processed through trusted service providers, including Wix, where necessary to operate Country Beauty.

Your personal information will never be sold or shared with third parties for their own marketing purposes.

You can find full details about how your information is used, stored and protected in my Privacy Policy.

Privacy Policy:

https://www.country-beauty.co.uk/privacy-policy


Have you visited Country Beauty before

Section 7 - New Client Information

As Country Beauty is a private, appointment-only salon, I may contact first-time clients to request additional information before confirming their appointment.

I reserve the right to decline or cancel a booking where there is a reasonable and legitimate reason to do so.

Section 8 - Signature

Drawing mode selected. Drawing requires a mouse or touchpad. For keyboard accessibility, select Type or Upload.
Date
Day
Month
Year
bottom of page