Client Information
Information to help me know more about you and how I can help you.
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First & Last Name *
Phone Number (Will not share or bug you) *
Email (Will not share) *
Address (Will not share) *
How do you prefer to be reached? *
Required
Skin Type *
What do you use for skin care *
How often do you cleanse and moisturize your face? *
Do you use a mask?  If yes, how often and what kind of mask? *
Do you wear cosmetics? If yes, what do you wear? *
What kinds of concerns do you have? *
Do you use SPF? *
Are you allergic to anything? *
Anything else you would like to share.
Type your name below saying that you have answered all questions truthfully. *
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