Client Name  (required)                  

Address (required)                        

City, St, Zip  (required)                 

Phone Number  (required)               

Mobile Number (optional)                

E-Mail         (required)                  

Type of Spa or Salon:                     Salon Medical Spa Day Spa Resort or Destination Spa Other

Is this a:                                      New Business Add on or Expansion New Location Other

Cost of Construction or renovation (per square foot)    $

Will you be Renting or leasing    Yes   

If yes - Cost of rent (per square foot, per mo)             $

How Big will it be:    (square feet)

                          or:    (square meters)

Please fill in the Rates that you know:

Worker's Comp Rate (per hundred)        $

Pay Rate for Therapists                       $ (per hour)

Or Commission Rate for Therapists           %

Hourly Rate for Front Desk/Reception     $

Hourly Rate for Cleaning/Laundry           $

Yearly rate for You/General Manager      $

How many hours of operation per day      4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24

How many days of operation per week     4 5 6 7

Will you do your own laundry?                  Yes

Will you have offices on premises?            Yes

          Qty                     Treatments/Modules:             Price of Treatment (if known)

0 1 2 3 4 5 6 7 8 9 10 11 12             Nutrition or Counseling Room            $ 0 10 15 20 25 30 35 40 45 50 55 60 65 70 75 80 85 90 95 100 105 110 115 120
0 1 2 3 4 5 6 7 8 9 10 11 12             Massage Room                              $ 0 10 15 20 25 30 35 40 45 50 55 60 65 70 75 80 85 90 95 100 105 110 115 120
0 1 2 3 4 5 6 7 8 9 10 11 12             Whirlpool Tub Room                        $ 0 10 15 20 25 30 35 40 45 50 55 60 65 70 75 80 85 90 95 100 105 110 115 120
0 1 2 3 4 5 6 7 8 9 10 11 12             Wet Room                                    $ 0 10 15 20 25 30 35 40 45 50 55 60 65 70 75 80 85 90 95 100 105 110 115 120
0 1 2 3 4 5 6 7 8 9 10 11 12             Facial Room                                  $ 0 10 15 20 25 30 35 40 45 50 55 60 65 70 75 80 85 90 95 100 105 110 115 120
0 1 2 3 4 5 6 7 8 9 10 11 12             Hair Styling Station                        $ 0 10 15 20 25 30 35 40 45 50 55 60 65 70 75 80 85 90 95 100 105 110 115 120
0 1 2 3 4 5 6 7 8 9 10 11 12             Manicure Station                           $ 0 10 15 20 25 30 35 40 45 50 55 60 65 70 75 80 85 90 95 100 105 110 115 120
0 1 2 3 4 5 6 7 8 9 10 11 12             Pedicure Station                            $ 0 10 15 20 25 30 35 40 45 50 55 60 65 70 75 80 85 90 95 100 105 110 115 120
0 1 2 3 4 5 6 7 8 9 10 11 12             Make-Up Station                            $ 0 10 15 20 25 30 35 40 45 50 55 60 65 70 75 80 85 90 95 100 105 110 115 120

0 1 2 3 4 5 6 7 8 9 10 11 12             Retail Area

 

Are you planning on having any of the following:

 

                      Seminar/Yoga Room                       No Yes Not Sure
                      Fitness                                        No Yes Not Sure

                      Tanning                                       No Yes Not Sure

                      Spray Tanning                              No Yes Not Sure

                      Laser Hair Removal                        No Yes Not Sure

                      Cellulite Reduction                         No Yes Not Sure

                      Injectables                                   No Yes Not Sure

0 1 2 3 4 5 6 7 8 9 10 11 12             Other     $ 0 10 15 20 25 30 35 40 45 50 55 60 65 70 75 80 85 90 95 100 105 110 115 120
0 1 2 3 4 5 6 7 8 9 10 11 12             Other     $ 0 10 15 20 25 30 35 40 45 50 55 60 65 70 75 80 85 90 95 100 105 110 115 120
0 1 2 3 4 5 6 7 8 9 10 11 12             Other     $ 0 10 15 20 25 30 35 40 45 50 55 60 65 70 75 80 85 90 95 100 105 110 115 120
0 1 2 3 4 5 6 7 8 9 10 11 12             Other     $ 0 10 15 20 25 30 35 40 45 50 55 60 65 70 75 80 85 90 95 100 105 110 115 120

0 1 2 3 4 5 6 7 8 9 10 11 12             Other     $ 0 10 15 20 25 30 35 40 45 50 55 60 65 70 75 80 85 90 95 100 105 110 115 120

 

Additional Comments, please feel free to tell us more about your vision or provide any special instructions:

  After submitting this page please proceed to Step #2