Consultation Form
Thank you for choosing About Skin and filling the intake forms electronically. It saves paper and benefits the environment. Your input will be put into a PDF file and you will receive a copy by email.
First Name *
Your answer
Last Name *
Your answer
Your Date of Birth *
MM
/
DD
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YYYY
Would you like to receive promotions and birthday gifts via email?
Your mobile phone number? *
Your answer
Your best email address? *
Your answer
What is your skin type?
What are your skin care concerns and/or what would you like to prevent. Check all that apply.
When was your last facial treatment?
Your answer
What is your skin care routine at home? Check all that apply.
Do you prefer a foamy, milky or oil cleanser? Select one.
Do you prefer gentle or active exfoliant? Select one.
Do you prefer a matte, medium or dewy moisturizer? Select one
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