Microblading Questionnaire PLEASE FILL OUT THE FORM BELOW BEFORE ARRIVAL FOR YOUR APPOINTMENT Name(required) Email(required) Phone(required) Aspirin, Niacin, Vitamin E or Ibuprofen(required) Yes No Currently on Accutane or other strong retinoid(required) Yes No Serious diseases such as cancer, epilepsy, autoimmune disorders(required) Yes No Exposure To Strong Sunlight *(required) Yes No Fruit or Milk Acid(required) Yes No Any skin diseases symptoms or irritation on the area?(required) Yes No On keloids or if you have tendency to keloid, birthmarks or moles(required) Yes No Diabetic(required) Yes No Waxing(required) Yes No Submit Share this:TwitterMoreFacebookEmailPrintLinkedInPinterestWhatsAppLike this:Like Loading... Related
