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Custom Blended Face Mask *COMPLETE QUESTIONNAIRE IN DESCRIPTION!*

Custom Blended Face Mask *COMPLETE QUESTIONNAIRE IN DESCRIPTION!*

$38.00
$38.00
Sale Sold out

PLEASE ANSWER THE FOLLOWING QUESTIONNAIRE AND ADD YOUR ANSWERS TO YOUR ORDER NOTES.

Please also take the time to read the T&Cs of this product below.

Custom Blended Face Mask Questionnaire:

SKIN TYPE:

1) Tell us about your skin… Does your skin currently feel?

A. Pretty even, not too oily or dry? (Balanced Skin)
B. Dry and tight, sometimes even flaky? (Dry Skin)
C. Greasy and looks shiny throughout the day? (Oily)
D. Itchy, dry, patchy or even sting? Experience redness? (Sensitive Skin)
E. Oily across your forehead, nose and chin, but are dry in other areas? (Combination Skin)
F. Other, please specify.

2) Do you ever experience any eczema, dermatitis, rosacea or any other redness or irritation?

YES OR NO
If yes, please specify.


3) Does your skin flush easily or do you find you stay red 10 minutes or more after exercising?

YES OR NO

SKIN CONCERNS:

4) Is there anything that concerns you about your skin? Wish you could improve?

If yes, please specify.

CONTRAINDICATIONS:

5) Any allergies or previous reactions to ingredients or products I should know about?

If yes, please specify.

6) Have you completed any of the following?
  • Laser Hair Removal
  • Sun Tanning / Use a Tanning Bed Machine
  • Use a exfoliant (If yes, please specify what product and how often per week)

7) Are there any medications or conditions that we should know about?

If yes, please specify.

8) Are you taking any other medications, using products or have any other conditions that may affect your treatment, such as skin thinning medications, Steroid creams, Botox, Roaccutane, Retinol, etc?

If yes, please specify.

___________________________________________________________________________


Terms and Conditions:

By purchasing this product I agree/consent to the following:
- I have completed this questionnaire to the best of my ability and knowledge and agree to inform the technician of any changes in the above information through the salon contact number (5613 4051).

- I agree to wave all liabilities to the technician and salon for any injuries or damages incurred due to misrepresentation of my medical history.

- I consent to my technician creating this personalised product for me, to collect, retain and process my medical and health information as provided on this form.

- These records are for the purpose of my treatment, any after care and any other matter that may arise after my product purchase.

- I understand that at times a reaction may occur and hereby acknowledge all risks associated with my product purchase. Any concerns I have with this product have been addressed with the technician directly through the salon contact number (5613 4051).

- I will adhere to all product purchase recommendations made by my technician to ensure the best quality product, including adhering to the expiry date supplied by my technician and product storage recommendations.

- I agree to a no returns policy on this product due to the nature of the product. 

Materials

Shipping & Returns

Dimensions

Care Instructions

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