Let’s Get to know YOU! Name * First Name Last Name Email * Skin Type * Oil rigs are jealous oily skin. (very oily) oily skin combination oily (i get a little oily though out the day. but have tight patches) Normal - nothing really happens Combination dry (some oily spots and tight and some time flaky patches Dry skin Sahara desert dry skin Skin issues/ concerns * Pimples (pustules): Pus-filled bumps. Papules: Small, discolored bumps, often red to purple or darker than your natural skin tone. Blackheads: Plugged pores with a black top. Whiteheads: Plugged pores with a white top. Nodules: Large lumps under your skin that are painful. Cysts: Painful fluid-filled (pus) lumps under your skin. Rosacea Dark Spots Fine lines Deep lines Puffiness large pores Makeup separation/caky Dulness Enviromental issues What Activities do you do on the regular? What's your work environment like? * Deposit of 50% required for booking service. Remainder at start of service. 30 day cancellation notice required for deposit to be refunded. Cancellation with in 30 days deposit is non refundable. Complementary travel to locations within 35 miles of Zip Code 46218.Travel to additional locations beyond are as follows $50 for miles 36 through 100 miles. Additional 50 mile increments over 100 miles are offered at $20 per increment Anything over 200 miles requires hotel accomidations’s. Travel outside of driving distance requirements as follows Delta Flight, hotel and auto rental if needed. * By Clicking yes you have a greed to all terms and conditions. Yes Thank you!
