POST-SESSION CONSENT & SATISFACTION FORM

1. CUSTOMER INFORMATION

First name

Last name

Phone

Service Received

Date

Day

Month

Year

2. PURPOSE OF THIS CONSENT

This form confirms that you have received the service(s) you booked, that the procedure was explained to you, and that you are satisfied with the results at the time of completing this form.

3. SERVICE CONFIRMATION

Please read each statement and tick to confirm:

☐ I confirm that the service provided to me has been explained clearly.

☐ I confirm that I received the exact service I requested.

☐ I confirm that I am satisfied with the quality of service I received.

☐ I confirm that I have inspected the final outcome and I am pleased with it.

☐ I confirm that no injuries, discomfort, or concerns were caused during the session.

☐ I have asked all necessary questions and received clear responses.

4. FEEDBACK (OPTIONAL)

Please share any comments about your experience:

5. CUSTOMER SIGN-OFF

By signing below, I confirm that all the above information is true and that I leave the session pleased with the service provided.

Customer Signature

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6. STAFF CONFIRMATION

I confirm that the service requested was delivered professionally and to the best standard.

Staff Name