𝐈 𝐀𝐌 𝐂𝐀𝐍𝐃𝐈𝐃𝐀𝐓𝐄 𝐅𝐎𝐑 𝐌𝐈𝐂𝐑𝐎𝐁𝐋𝐀𝐃𝐈𝐍𝐆?

Dear Mr. / Mrs.,

Thanks for your visit. Completing this brief survey will help us obtain the best results for your pre-qualification on your desire treatment.

Secured

Survio

𝐈 𝐚𝐦 𝐜𝐚𝐧𝐝𝐢𝐝𝐚𝐭𝐞 𝐟𝐨𝐫 𝐦𝐢𝐜𝐫𝐨𝐛𝐥𝐚𝐝𝐢𝐧𝐠?

I´m between the ages:

Select one answer

18-25

25-45

55-65

I am pregnant and/or lactating:

Select one answer

yes

I consider my skin type:

Select one answer

Normal

Greasy

Acne

Dry

Mix

Rosacea

I currently have previous work from ago:

Select one answer

Don´ t have

One year

Two years

I suffer from:

Select one or more answers

High pressure

Diabetes

Keloids

Cancer

Smoke

Drink alcohol

Freckles and moles

Warts

AIDS

Psoriasis

I take medicines like:

I do aesthetic treatments and use products on my face such as:

Select one or more answers

Facials

Botox

Retinol

Microdermabrasion

Laser

Peelings

When is about your wound, how do you consider the bleeding?

𝐈 𝐚𝐦 𝐜𝐚𝐧𝐝𝐢𝐝𝐚𝐭𝐞 𝐟𝐨𝐫 𝐦𝐢𝐜𝐫𝐨𝐛𝐥𝐚𝐝𝐢𝐧𝐠?

What are your expectations when receiving the microblading service?

I desire....

𝐈 𝐚𝐦 𝐜𝐚𝐧𝐝𝐢𝐝𝐚𝐭𝐞 𝐟𝐨𝐫 𝐦𝐢𝐜𝐫𝐨𝐛𝐥𝐚𝐝𝐢𝐧𝐠?

Help us reach you. Add a communication method where you would like to receive your results.

Example: Your @insta, Facebook, email or contact phone for text.

𝐈 𝐚𝐦 𝐜𝐚𝐧𝐝𝐢𝐝𝐚𝐭𝐞 𝐟𝐨𝐫 𝐦𝐢𝐜𝐫𝐨𝐛𝐥𝐚𝐝𝐢𝐧𝐠?

Thank you for taking the time to complete our survey, this way it will be easier to get to know our potential candidates and provide them with better guidance and options when working directly with you.

With love,

Sra.Brauen.