• WHEN IS YOUR BIRTHDAY?*
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  • IS THIS YOUR FIRST TIME GETTING EXTENTIONS?*
  • DO YOU HAVE A STYE, PIMPLE, PINK EYE OR ANYTHING CONCERNING AROUND THE EYE AREA?*
  • DO YOU WEAR CONTACTS? please wear glasses to your appointment or bring a contacts case.*
  • ARE YOU ALLERGIC TO SILICONE/LATEX?*
  • ARE YOU ALLERGIC TO DOGS? i am home based and have a small dog*
  • ARE YOU PREGNANT?*
  • TODAYS DATE*
    Β -Β -
  • Should be Empty: