UBT100X Treatment planning sheet Portfolio reference: Evidence Non-graded treatment portfolio UBT100X Indian head massage Learner name: Assessors name: Time: Start Finish Client New Existing Male Female Consultation techniques Verbal Non-verbal Written Implications Limiting factors Cost of maintenance Benefits Adverse hair conditions Frequency of maintenance Effects of and limitations to other treatments Adverse skin conditions Advice on further or additional treatments Changes to existing care routine Results of previous treatments and products used Client s lifestyles Sensitivity test results Contra-indications Courses of action Offering information Advice and guidance Referral to sources of support in line with salon s procedures Advice given Aftercare Possible contra-actions Post-treatment restrictions Additional retail products and treatments Posture: Client characteristics Faults: Muscle tone Poor Average Good Age Pre 16 17-30 31-45 46-60 60+ General health and lifestyle
UBT100X Treatment planning sheet Never Rarely Regulary Type of exercise taken: Physical exercise Diet Fluid intake Normal Dry Oily Skin condition Combination Sensitive Dehydrated Mature Hair length Long Shoulder Length Short Bald Hair condition Oily Dry Normal Scalp condition Dandruff Dry Alopecia Psoriasis Seborrhoeic Eczema Agreed course of treatment Treatment objectives Treatment areas Relaxation Sense of well-being Uplifting Improvement of hair and scalp condition Face Head, Chest and Shoulders Arms Back Chakras Massage medium Oil None used Massage movements Effleurage Petrissage Tapotement Vibrations Marma (pressure points) Justification for treatment, products and equipment used
UBT100X Treatment planning sheet Products and further treatments recommended Client comments I confirm that I have received aftercare advice What went well today? Clients signature: What could have gone better? Self evaluation Learner comments Learner signature: Assessor(s) comments Assessor(s) signature:
UBT101X Treatment planning sheet Portfolio reference: Evidence Non-graded treatment portfolio UBT101X Stone therapy Learner name: Assessors name: Time: Start Finish Client New Existing Male Female Consultation techniques Verbal Non-verbal Written Implications Cost of maintenance Benefits Frequency of maintenance Effects of and limitations to other treatments Advice on further or additional treatments Changes to existing care routine Limiting factors Contra-indications Adverse skin or nail conditions Results of previous treatments and products used Client s lifestyles Sensitivity test results Courses of action Offering information Advice and guidance Referral to sources of support in line with salon s procedures Advice given Aftercare Possible contra-actions Post-treatment restrictions Additional retail products and treatments Posture: Client characteristics Faults: Muscle tone Poor Average Good General health and lifestyle
UBT101X Treatment planning sheet Never Rarely Regulary Type of exercise taken: Physical exercise Diet Fluid intake Normal Dry Oily Skin condition Combination Sensitive Dehydrated Mature Agreed course of treatment Treatment objectives Relaxation Uplifting Balancing Easing of muscular tension and stiffness Face Head Neck Treatment areas Chest Shoulders Abdomen Arms Hands Legs Feet Back Massage medium Oil Cream Pre-blended oils Effleurage Petrissage Frictions Massage techniques Tapping Tucking Placement Trigger Points Piezoelectric effects/vibrations Therapy techniques Rotation of stones Alternation of hot and cold stones Combination of stone types and sizes Use of hot stones only Use of cold stones only Justification for treatment, products and equipment used
UBT101X Treatment planning sheet Products and further treatments recommended Client comments I confirm that I have received aftercare advice What went well today? Clients signature: What could have gone better? Self evaluation Learner comments Learner signature: Assessor(s) comments Assessor(s) signature:
UBT103X Treatment planning sheet Portfolio reference: Evidence Non-graded treatment portfolio UBT103X Facial electrical treatments Learner name: Assessors name: Time: Start Finish Client New Existing Male Female Consultation techniques Verbal Non-verbal Written Implications Cost of maintenance Benefits Frequency of maintenance Effects of and limitations to other treatments Advice on further or additional treatments Changes to existing care routine Limiting factors Contra-indications Adverse skin conditions Results of previous treatments and products used Client s lifestyles Sensitivity test results Courses of action Offering information Advice and guidance Referral to sources of support in line with salon s procedures Advice given Aftercare Possible contra-actions Post-treatment restrictions Additional retail products and treatments Agreed course of treatment Treatment objectives Improve skin condition and texture Improve lymphatic drainage Improve muscle condition and facial contours Equipment used High frequency Galvanic Faradic Vacuum suction Microcurrent Microdermabrasion Justification for treatment, products and equipment used
UBT103X Treatment planning sheet Products and further treatments recommended Client comments I confirm that I have received aftercare advice What went well today? Clients signature: What could have gone better? Self evaluation Learner comments Learner signature: Assessor(s) comments Assessor(s) signature:
UBT104X Treatment planning sheet Portfolio reference: Evidence Non-graded treatment portfolio UBT104X Body electrical treatments Learner name: Assessors name: Time: Start Finish Client New Existing Male Female Consultation techniques Verbal Non-verbal Written Implications Cost of maintenance Benefits Frequency of maintenance Effects of and limitations to other treatments Advice on further or additional treatments Changes to existing care routine Limiting factors Contra-indications to treatment Adverse skin conditions Results of previous treatments and products used Client s lifestyles Sensitivity test results Courses of action Offering information Advice and guidance Referral to sources of support in line with salon s procedures Advice given Aftercare Possible contra-actions Post-treatment restrictions Additional retail products and treatments Agreed course of treatment Treatment objectives Improve skin condition and texture Improve lymphatic drainage Improve muscle condition and body contours Equipment used High frequency Galvanic Faradic Vacuum suction Microcurrent Microdermabrasion Justification for treatment, products and equipment used
UBT104X Treatment planning sheet Products and further treatments recommended Client comments I confirm that I have received aftercare advice What went well today? Clients signature: What could have gone better? Self evaluation Learner comments Learner signature: Assessor(s) comments Assessor(s) signature:
UBT147X Treatment planning sheet Portfolio reference: Evidence Non-graded treatment portfolio UBT147X Thai stamp massage Learner name: Assessors name: Time: Start Finish Client New Existing Male Female Consultation techniques Verbal Non-verbal Written Implications Cost of maintenance Benefits Frequency of maintenance Effects of and limitations to other treatments Advice on further or additional treatments Changes to existing care routine Limiting factors Contra-indications Adverse skin conditions Results of previous treatment and products used Client s lifestyles Sensitivity test results Courses of action Offering information Advice and guidance Referral to sources of support in line with salon s procedures Advice given Aftercare Possible contra-actions Post-treatment restrictions Additional retail products and treatments Agreed course of treatment Treatment objecttive Relaxation Stress relief Ease muscular pain Stimulating Back Back of legs Feet Treatment areas Front of legs Arms Hands Abdomen Neck and shoulders Face Head Scalp Carried out all types of treatment Large and small herbal compress Lymphatic drainage massage Working Sen lines Applying chakra compresses Patting Pressing Pounding Massage movements Pummelling Rolling Rotation Side roll Stretching Effleurage Deep breathing
UBT147X Treatment planning sheet Justification for treatment, products and equipment used Products and further treatments recommended Client comments I confirm that I have received aftercare advice What went well today? Clients signature: What could have gone better? Self evaluation Learner comments Learner signature: Assessor(s) comments Assessor(s) signature:
UBT92X Service planning sheet Portfolio reference: Evidence Non-graded service portfolio UBT92X Body analysis Learner name: Assessors name: Time: Start Finish Client New Existing Male Female Consultation techniques Verbal Non-verbal Written Advice given Recommendations for services, courses of services Additional products and services Improvements to posture, diet, lifestyle Aftercare Possible contra-actions Post-service restrictions Never Rarely Regulary Physical exercise Type of exercise taken: Diet Fluid intake Body skin type Normal Dry Oily Body skin condition Sensitive Dehydrated Mature Skin elasticity Poor Average Good Muscle tone Poor Average Good Body type Endomorph Ectomorph Mesomorph Conditions Cellulite Poor muscle tone Sluggish circulation Height Weight BMI calculation Skin fold caliper measurement Areas of fluid retention Areas of sluggish circulation Fat type present Hard Soft Cellulite
UBT92X Service planning sheet Figure and postural conditions Posture: Faults: Measurements Neck Upper chest Middle chest Lower chest Biceps Wrist Waist Upper hips Lower hips Upper thigh Middle thigh Knee Calves Ankles On the diagram provided record identify areas of concern
UBT92X Service planning sheet Justification for service, products and equipment used Products and further services recommended Client comments I confirm that I have received aftercare advice What went well today? Clients signature: What could have gone better? Self evaluation Learner comments Learner signature: Assessor(s) comments Assessor(s) signature:
UBT99X Treatment planning sheet Portfolio reference: Evidence Non-graded treatment portfolio UBT99X Mechanical massage Learner name: Assessors name: Time: Start Finish Client New Existing Male Female Consultation techniques Verbal Non-verbal Written Implications Cost of maintenance Benefits Frequency of maintenance Effects of and limitations to other treatments Advice on further or additional treatments Changes to existing care routine Limiting factors Excessive body hair Adverse skin conditions Results of previous treatments and products used Client s lifestyles Sensitivity test results Contra-indications Courses of action Offering information Advice and guidance Referral to sources of support in line with salon s procedures Advice given Aftercare Possible contra-actions Post-treatment restrictions Additional retail products and treatments Agreed course of treatment Treatment objectives Treatment areas Relaxation Stimulating Sense of well-being Uplifting Easing of muscular tension and stiffness Anti-cellulite Front of legs Back of legs Abdomen Arms Shoulders Back Equipment used Gyratory Infra-red Audiosonic Justification for treatment, products and equipment used
UBT99X Treatment planning sheet Products and further treatments recommended Client comments I confirm that I have received aftercare advice What went well today? Clients signature: What could have gone better? Self evaluation Learner comments Learner signature: Assessor(s) comments Assessor(s) signature: