Tattoo Questions Pre treatment

1
Full Name* This field is required.
First Name
Last Name
2
Date of Birth* This field is required.
Date
Month
Day
Year
3
What sort of tattoo do you have?* This field is required.
Amateur
Tramatic
Professional
4
How long have you had the tattoo?* This field is required.
5
Where did you have the tattoo done? UK or Abroad?* This field is required.
6
How did you feel initially after you have had the tattoo done (i.e. dizzy, nauseous)?* This field is required.
7
Is this a ‘coverup’ tattoo and if so what colour(s) is underneath?* This field is required.
8
What are your goals/expectations for the treatment?* This field is required.
9
Date* This field is required.
Date
Month
Day
Year
10
Please sign* This field is required.
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