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Take Our Facial Questionnaire
I want to know your skin better
Name
Email
What facial are we doing?
30-Minute Treatment
60-Minute Treatment
90-Minute Treatment
What treatments would you like included in your facial?
Cupping - stimulates the skin, muscles and lymphatic system. All of which help move fluid, increase blood circulation and detox. Aka clean, tighten, and smooth the face
Hydro Jelly Mask - electrolyte-infused Hydro Jelly masks contain Algae, Organic Whole Grain, Oat Flour, Organic White Rice Flour, & Organic White Willow Bark Powder, as well as their own specialized ingredients to treat your individual skin concerns. They create a unique vacuum seal allowing your skin to absorb ingredients
Acne / Extractions - A deep pore cleaning to remove built up dirt, oil and bacteria from your pores. Helps shrink pore size and repair acne spots
When was your last facial?
1-3 Months
6+ Months
This is my first facial
What brings you in for a facial?
Relaxation/Pampering
Signs of Aging
Dry Itchy Skin
Clogged, Dirty Skin
What’s your skin type?
Dry
Oily
Combination - Dry & Oily
Does your skin get easily red, flushed and or hot to the touch?
Yes, can stay red for long periods of time
Yes, gets red after physical activity or using certain products
No, not generally an issue for me
On average, how many new active blemishes pop up?
Daily
Weekly
Monthly
Not generally an issue for me
What scent do you prefer?
Floral
Citrus
Fresh/Clean
Are you comfortable using CBD products?
Yes
No
Would you like a quiet appointment? (No talking, just full relaxation and stress free)
Yes
No
Are you currently using any actives or dermatology-prescribed products? Yes or No.
Submit
Thank you for taking our quiz
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