Contact

What service are you booking?

How many is this booking for?

What is your age range

What sort of look do you want?

Are there any areas you want to highlight or minimise?

What is you skin type?

Do you have any skin conditions?

Sensitive Dehydrated Mature Redness Enlarged Pores Dark Circles Pigmentation Papules Scarring Check all that apply

What is your current skincare routine?

What is your normal makeup routine/products?

Do you normally wear contact lenses or glasses?

Relevant medical info. Do you have any of the following?

Allergies

Eye Infections (conjunctivitis, styes, blepharitis etc)

Viral Infections (coldsores, zoster, warts etc)

Bacterial Infections (impetigo etc)

Fungal Infections (tinea etc)

Parasitic Infections (scabies, pediculosis etc)

Watery Eyes

Cuts / abrasions

Soreness / bruising / scartissue

Severe acne

Hyper sensitive skin

Eczema / psoriasis

Trichotillomania

Recent surgery

Sunburn

Dry Eye Syndrome

Eye Issues (glaucoma etc)

Undergoing chemotherapy

Respiratory condition (asthma etc)

Other severe skin condition

Tick all that apply

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