Suitability Quiz

IS MICROBLADING SUITABLE FOR YOU?

Let's find out...
First Name *
Email *
example@example.com
Phone Number (incase your results end up in your spam folder)

Area Code Phone Number
*By entering your details you give permission for me to contact you in the future with updates of my work and any offers.

What is your age?

Have you previously had Microblading or eyebrow tattoo? *

Yes No

What skin type do you have? *

Oily Dry Normal Mature (55+) Sensitive Sun Damaged Bleeds Easily

Do you smoke? *

Yes No

Are you currently pregnant or breast feeding?

Yes No

Do you have any of the following skin conditions on your face? *

Eczema Rosacea Psoriasis Acne Dermatitis Keratosis Pilaris NONE

Have you ever used or currently using any of the following? *

Retin A (a medication used to treat acne) Accutane (a medication used to treat acne) Glycolic Acid (can often be found in face creams) None of the above

Are you currently taking medication? *

Yes No
If yes, what is your medication and what are you taking it for?

Have you had a chemical peel/microdermabrasion in the past 6 weeks? *

Yes No

Have you had Botox in your brow area in the past 3 months? *

Yes No

How did you hear about us *
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