Step 1 of 2 50% Name* First Last Are You An Existing Client?* Yes No Email* Phone*Appointment Type Beauty Treatment Laser Hair Reduction Skin Care Treatment Spa Package Select Beauty Treatment(s)Eye Lash Extensions – Full Set ExtensionsEye Lash Extensions – Refills 2 WeeksEye Lash Extensions – Refills 3 WeeksEye Lash Extensions – Refills 4 WeeksEye Lash Extensions – Lash RemovalEye Lash Extensions – Full Brow ExtensionsEye Lash Extensions – Semi Perm MyscaraEye Lash Extensions – Lash LiftEye Lash Extensions – Lash Training + KitFacialsHands & Feet – Precision Manicure - (30 mins)Hands & Feet – Spa Manicure - (45 mins)Hands & Feet – Spa Pedicure Foot Facial - (45 mins)Hands & Feet – Express Pedicure - (30 mins)Massage – Wellness Massage - (60 mins)Massage – Recovery Massage - (75 mins)Massage – Tension Relief Massage - (30 mins)Skin PeelsSpray TanningSugaring (Men) – Chest FromSugaring (Men) – Back FromSugaring (Men) – Neck, Back & ShouldersSugaring (Men) – Full ArmSugaring (Men) – Half ArmSugaring (Men) – Full LegSugaring (Men) – Half LegSugaring (Men) – EyebrowSugaring (Women) – LipSugaring (Women) – Half LegSugaring (Women) – Full LegSugaring (Women) – ChinSugaring (Women) – EyebrowSugaring (Women) – Bikini LineSugaring (Women) – XX SugaringSugaring (Women) – XXX SugaringSugaring (Women) – UnderarmSugaring (Women) – Half Arm SugaringSugaring (Women) – Full Arm SugaringWaxing (Men) – Chest FromWaxing (Men) – Back FromWaxing (Men) – Neck, Back & ShouldersWaxing (Men) – Full ArmWaxing (Men) – Half ArmWaxing (Men) – Full LegWaxing (Men) – Half LegWaxing (Men) – EyebrowWaxing (Women) – LipWaxing (Women) – Half LegWaxing (Women) – ¾ LegWaxing (Women) – Full LegWaxing (Women) – ChinWaxing (Women) – EyebrowWaxing (Women) – Bikini LineWaxing (Women) – XX WaxingWaxing (Women) – XXX WaxingWaxing (Women) – UnderarmWaxing (Women) – Half ArmWaxing (Women) – ¾ ArmWaxing (Women) – Full ArmWaxing (Women) – Face SidesWaxing (Women) – Full FaceWaxing (Women) – NeckWaxing (Women) – EarsWaxing (Women) – ButtockWaxing (Women) – Snail TrailThreading – EyebrowThreading – LipThreading – Full FaceThreading – Face SidesThreading – ChinThreading – Brow & LipThreading – NeckThreading – MissHenna BrowsMake a selection, then hold down the Ctrl key (Windows) or Cmd key (Mac) and make another selection.Select Skin Care Treatment(s)Skin Care DiagnosisAdvanced Skin Care – Vitamin C Intense Infusion TreatmentAdvanced Skin Care – Deep Cleansing Aromatherapy FacialAdvanced Skin Care – Classic Express Skin Care TreatmentAdvanced Skin Care – Rejuvenating Skin Care TreatmentAdvanced Skin Care – Skin Exfoliating SystemCPT ThermageSkinCoach Anti AgeingPhoto RejuvenationLaser Skin TighteningAcnePigmentationRosaceaWrinklesDermapen TreatmentMake a selection, then hold down the Ctrl key (Windows) or Cmd key (Mac) and make another selection.Select Spa Package(s)Executive Indulgence PackageForgotten Hero / Heroine PackageGet Gorgeous PackageRebalance PackageRefresh PackageRetreat PackageRevival PackageMake a selection, then hold down the Ctrl key (Windows) or Cmd key (Mac) and make another selection.Preferred Date of Appointment* MM slash DD slash YYYY Preferred Time of Appointment* : Hours Minutes AM PM AM/PM Optional Message Covid-19 Safety Questionnaire & Self-Declaration Visible Changes is committed to providing a safe workplace and salon for its staff and clients. While restrictions on trade have been lifted, it is important that we continue to take steps to ensure that we can stay open and do what we can to minimise the spread of the Covid-19 virus. So that we can keep you all looking and feeling fabulous. We therefore need to keep a record of everyone who enters our salon and comply with all government mandated social distancing requirements. Before we can commence to serve you or to provide you with a treatment today, we will require you to answer the following questions. Please do not be offended by this. We are simply doing this to keep you and us safe. For so long as it is necessary, and even if you are a repeat customer, we will be asking you to complete this form on each time you enter the salon. Have you returned from any country that has been affected by the COVID-19 Virus in the last 14 days?* Yes No Have you had close contact or provided care to a person who has been diagnosed with COVID-19 wihtin the last 14 days?* Yes No Have you been in close contact with anyone who has travelled overseas in the last 14 days?* Yes No If yes, which country?*Have you experienced any cold or flu-like symptoms in the last 14 days (to include fever, cough, sore throat, respiratory illness or difficulty breathing?)* Yes No Please note that if you have answered YES to any of the questions above we may require you to reschedule your appointment. I would like to subscribe to the Visible Changes newsletter and stay updated on the latest news and special offers. CommentsThis field is for validation purposes and should be left unchanged.
