Consultation Form
Help us help you get the right products
Do you wax your face on a regular basis?
Does your job and/or lifestule require that you work/play outdoors?
Have you ever had facials, chemical peels, microdermabrasion or any resurfacing treatments?
Are you using Retin-A?
Are you using Benzoyl Peroxide?
Female clients only:
I have read and completed this questionnaire truthfully. I understand that withholding information or providing misinformation may result in contraindications and/or irritation to the skin from treatments or products received. The treatments or products I receive are voluntary and I release the company and/or skin care professional from liability.
Skin Characteistics:
How often do you wear make up?
Personal skin care products used:
Have you ever experienced a reaction to the following?

NEVER MISS A THING

  • White YouTube Icon
  • White Instagram Icon
  • White Twitter Icon
  • White Facebook Icon
I'D LOVE TO HEAR FROM YOU

FOR BUSINESS INQUIRIES