| 1.
What procedure interests you the most?
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| 2. What have you previously
used to remove your unwanted hair? Please select all that apply. |
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| 3. What color is your hair in the area you want to be treated? |
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| 4. What color is your skin in the area you want to be treated? |
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| 5. Do you have a sun tan? |
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| 6. What is your skin type in the area you are considering to have laser hair removal? |
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| 7. Have you been on Accutane in the past 6 months? |
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Yes
No |
| 8.
Have you ever had a consultation for any elective procedures? |
Yes
No
N/A
Do you have any friends that have had a similar procedure that you are interested in?
Yes
No
Please feel free to ask any questions that you would like to have answered.
Responses are generally returned within the same business day.
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| 9. Personal information.
(All Information is Strictly Confidential!) |
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We will respond to your request via e-mail |
