Am I a Good Candidate for Eyelash Extensions?

1

Name* This field is required.Hello you! Please enter your first name to get started.

2

Email* This field is required.Please enter your email address so we may send your survey results.

example@example.com

3

Have you had any eye surgery within the last 6 months such as LASIK, surgical eye/brow lifts, or microblading?* This field is required.

No

Yes

4

Do you have cataracts?* This field is required.

No

Yes

5

Do you have diabetic retinopathy?* This field is required.

No

Yes

6

Do you have alopecia or trichotillomania?* This field is required.

No

Yes

7

Do you have corneal disease?* This field is required.

No

Yes

8

Do you have glaucoma?* This field is required.

No

Yes

9

Have you had any recent eye infections such as conjunctivitis, hordelum/styes, or blephartis?* This field is required.

No

Yes

10

Are you highly allergic to any glues or adhesives?* This field is required.

No

Yes

11

Do you have extreme skin sensitivity to any beauty products?* This field is required.

No

Yes

12

Calculation