Skin Deep Soul Facial Studio | Pembroke Pines, FL

Welcome to Skin Deep Soul • Private Suite Care

Client Check-In & Sensory Intake

"Beauty Starts in the Soul." Every session is custom-designed around your moisture barrier and South Florida's climate.

Personal Information

1. First Name *

2. Last Name *

3. Date of Birth *

4. Phone Number *

5. Email Address *

6. Emergency Contact (Name & Phone)

Health & Medical Information (Enter "N/A" if not applicable)

7. Medications currently taking (including Birth Control) *

8. Allergies (skincare, latex, nuts, medications) *

9. Pregnancy / Breastfeeding *

Yes No

14. Prescription skincare (Retin-A, Accutane, etc.)? *

Yes No

11. Medical conditions (diabetes, heart, skin disorders, epilepsy, cancer, autoimmune) *

12. Recent surgeries or cosmetic procedures (Botox, fillers, peels, laser) *

13. Skin conditions / concerns (acne, rosacea, eczema, psoriasis, hyperpigmentation) *

15. Tension, stiffness, or pain areas *

Treatment History & Goals

16. First professional facial/body treatment? *

17. Adverse reactions to skincare in the past? *

18. Preferred massage pressure *

19. Primary skincare goals (hydration, pro-aging, acne, barrier repair, relaxation) *

20. If you could change one thing about your skin, what would it be? *

Lifestyle & Skin Habits

21. Exfoliation frequency *

22. Regular sunscreen use *

23. Smoking or regular alcohol *

24. Daily water intake *

25. Stress levels *

26. How did you hear about us? *

27. Occupation *

Personalize Your Sanctuary

Treatment Room & Sensory Preferences

Music Vibe

Heated Table Level

Session Style

Extraction Comfort

Consent & Signature

28. Photo Consent

I consent to photos being taken to privately track my treatment progress (Skin Journey). I consent to my photographs being used for marketing purposes, including social media and the studio website.

29. Electronic Signature (Type Full Legal Name) *

30. Today's Date *

Checkout Experience

Soul & Skin Ritual Card Generator

Create an instant mobile aftercare & breathwork link for your client to scan at checkout.

Client Name

Treatment Performed (Full Studio Menu)

72-Hour Post-Facial & South Florida Rules

Pause retinol & exfoliating acids for 72 hours Mineral Zinc SPF 30+ every morning (South Florida UV protection) Avoid saunas, hot showers & pool/ocean water for 24 hours Layer humectants + ceramides against indoor AC dryness

Soul Intention / Grounding Note

Recommended Next Facial Window (4–5 Weeks)

Skin Deep Soul Facial Studio

Your Post-Facial Ritual

Signature Restorative Facial

72-Hour Skin Barrier Care

🌿Pause retinol, AHAs, BHAs, and exfoliants for 72 hours.
☀️Apply broad-spectrum non-nano mineral zinc SPF 30+ before stepping into South Florida sun.

Soul Grounding Ritual

"Beauty starts in the soul. Take 60 seconds tonight to breathe and honor your stillness."

60s

Tap below for a 1-minute nervous system reset

Book Online at SkinDeepSoul.com →

15800 Pines Blvd, Suite 320, Pembroke Pines, FL • (954) 744-0118

Skin Deep Soul