Appointment Questionnaire

Name*

Email*

Phone Number*

How did you hear about SoCo Gold?

How did you hear about Soco Gold Permanent Jewelry?*

My studio is up one flight of stairs. Are you and your party able to manage stairs? *

How many people are in your party?*

How many people are in your party?

Are there minors in your party wanting Permanent Jewelry?*

If Yes, please specify age(s):

Is anyone in your party pregnant?*

Does anyone in your party have an implanted electrical medical device, such as a Pacemaker or Defibrillator?*

Does anyone in your party have known metal allergies? *

If Yes, please specify:

Please select the types of jewelry/services you are interested in*

Preferred Metals*

Things to Know