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Electrolysis Consultation Form

An electrolysis consultation template — capture the areas, hair type and any hormonal factors behind the growth, to plan treatment.

Description

Electrolysis is the only method that permanently removes individual hairs, and uniquely it works on any hair colour — which makes it the answer for the grey, red and fine hairs laser can’t touch. This consultation form gathers what you need to plan it: the areas the client wants treated, how they’d describe the hair, and whether they’ve tried other methods. The question that often unlocks the real picture is about hormones. A lot of unwanted facial and body hair is driven by PCOS, menopause or other hormonal factors, and inviting the client to share what they can helps you set realistic expectations about how much treatment the course will take. A brief contraindications check — pacemaker, diabetes, pregnancy, blood thinners — flags anything that affects suitability before you book a patch test. Use it as the first step for any electrolysis client. It’s free, brand-styled, and turns a specialist treatment into a well-understood plan from the outset.

Form fields

Everything the Electrolysis Consultation Form above collects — 10 fields, so you can see exactly what it captures before you make it your own.

Electrolysis Consultation

  • Your name

    Name Icon
    Name
  • Email address

    Email Icon
    Email
  • Phone number

    Telephone Icon
    Telephone
  • Which areas would you like treated?

    Multi-Select Icon
    Multi-Select
  • How would you describe the hair?

    Dropdown Icon
    Dropdown
  • Have you tried other hair removal methods?

    Yes/No Icon
    Yes/No
  • Is the hair growth linked to anything (e.g. hormones, PCOS, menopause)? Tell us what you can

    Long Answer Icon
    Long Answer
  • Do any of these apply?

    Multi-Select Icon
    Multi-Select
  • What would you like to know?

    Long Answer Icon
    Long Answer
  • I'm happy to be contacted about my treatment

    Consent Icon
    Consent
Use Template Arrow Right Icon

Template FAQs

Common questions about the Electrolysis Consultation Form — what it captures, when to use it, and how to make it your own.

What makes electrolysis different from laser?

Electrolysis treats each hair individually with a fine probe and can permanently remove hair of any colour — including grey, red and fine blonde hair that laser can’t target. It’s slower but works where laser can’t.

Why ask about hormonal factors?

Because much unwanted hair is driven by PCOS, menopause or other hormonal changes, which affect how much ongoing treatment is needed. Understanding the cause helps set realistic expectations about the course.

Does electrolysis work on any hair colour?

Yes — unlike laser, it doesn’t rely on pigment, so it treats grey, white, red and fine blonde hair as effectively as dark hair. That’s often exactly why clients seek it out.

What contraindications does the form check?

A pacemaker or metal implant, diabetes, pregnancy, blood thinners and skin conditions in the area — the factors that affect whether and how electrolysis can be carried out safely.

Is a patch test needed?

Yes, as with most treatments, a patch test confirms how the skin responds before a full course. The consultation identifies who needs careful testing and planning.

Is the form free?

Yes. It’s free with a Fun Forms account, fully brandable, and ready to embed or share as a link.