Consultation Form

Consultation Form
Please answer all the questions below so I can determine if the treatment is suitable for you you. Once submitted I will review and will be in touch within 24hrs.

Please take a good look at the skin under your eyebrow hair. If the skin is red or dry or has small red or white bumps or visible blood vessels then please indicate that in the form below. It's very important as you may not be suitable for the treatment!
Name

First NameLast Name
Email
example@example.com
Phone Number

Area CodePhone Number
Age
What are your goals and expectations of the treatment?
Have you previously had Microblading, Powder Brows or eyebrow tattoo?
What skin type do you have?
Do you have any of the following skin conditions on your face, specifically on the brow area. Please take a good look at the skin under your eyebrow hair before answering this question.
Are you currently using medication or cream to treat Acne?
Do you have any allergies to metals or cosmetics or hair dye?
Confirm you're not pregnant/breastfeeding, and take no medication/have any medical conditions.
Signed
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Should be Empty: