Troubleshooting Questionnaire
Let us do this part
Today's Date:
Tue Mar 17 2026 11:11
Practitioner:*
Piercing Placement:*
Here is the link to your aftercare information - please download it to your device for your reference, or request a physical copy at the desk.

https://www.staysharpstudio.com/ear-piercing-aftercare

If you have any questions, please visit the website to open a contact form.
www.staysharpstudio.com
Please read and answer
Y
N
I understand that any check-up or advice provided is based on professional experience and knowledge but is not a guaranteed solution. Piercing involves precision-based techniques, and troubleshooting may require different approaches. Results may vary, and there is no certainty that the advice given will resolve any issues.

I acknowledge that piercing staff are not doctors or medical professionals. Further in-person consultations or medical check-ups may still be necessary as healing progresses, and I am encouraged to provide regular updates.

I accept that all advice provided is a guideline and should not replace medical advice from a doctor or healthcare professional.

 

Y
N

Y
N
Details: 

Y
N
Details: 

Y
N
Details: 

Y
N

Y
N

Y
N

Y
N

Alcohol
Ear Piercing Solution
Soap
Bacitracin
Epsom Salt
Tea Bags
Bactine
Hibiclens
Tea Tree Oil
Betadine
Iodine
H2Ocean
Wound Wash
NeilMed Saline
Biotene
Neosporin
Contact Lens Solution
Peroxide
Dial Soap
Provon
Dove
DIY Sea-salt Soaks
Mouthwash



Anatometal
BodyGems
Buddha Jewelry Organics
BVLA
Divinity Metals
Ember Body Jewelry
Junipurr Jewelry
NeoMetal
NorVoch
I'm not sure of material
I'm not sure of brand

 

If any provision, section, subsection, clause or phrase of this release is found to be unenforceable or invalid, that portion shall be severed from this contract. The remainder of this contract will then be construed as though the unenforceable portion had never been contained in this document.
Client Information
I hereby declare that I am of legal age (with valid proof of age) and am competent to sign this Agreement or, if not, that my parent or legal guardian shall sign on my behalf, and that my parent or legal guardian is in complete understanding and concurrence with this agreement.
Legal Name:*
Pronouns:
Chosen name:
Address:*
Postcode:*
Date of birth:*
 
If you are under 18 your parent/guardian will be required
Age: 
Phone #:*
Email:*
Signature:*

Emergency Contact
If something happens, your emergency contact might need to explain your medical history, allergies, or medications.
Name:
Phone #:
Photo Identification
Please take photo(s) of your government issued photo IDs and related paperwork
Please use the front camera to photograph your ID!