Eyebrow Consent - part-2 | lashandbrowbyamy

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First and Last Name

Did you have any problem with healing and wound *

YES

NO

Have you consumed drugs or alcohol in the last 24 hours? *

YES

NO

Did you in the last 14 days undergo surgery? *

YES

NO

Are you taking medications on a regular basis? *

YES

NO

Are you pregnant? *

YES

NO

Do you have Pacemaker? *

YES

NO

Epilepsy? *

YES

NO

Do you have skin diseases or Eczema or Allergies? *

YES

NO

I agree to terms and conditions. I declare that the info I’ve provided is accurate & complete

Thanks for Submitting Part 2!

2017 ~ Flawless Lashes & Brows by Amy

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