Micro-blading details

Please complete the following details

Name

First Name

Last Name

Email Address

Date of birth

MM

DD

YYYY

Please tick if applicable:

Do you exercise more than 3 times a week?

Do you suffer from excessive sweating?

Have you had Botox within the last month?

Are you on any acne medication?

Are you on any prescription medication?

Do you have any problems with healing?

Please list any issues you have had with previous brow work:

Please list any allergies you suffer from:

Could you please email pictures of the following to maria@belleza.nz :

Close up and front view of your eyebrows with no make up on, and 1 with your eyebrows made up.
Any photos of eyebrows that you have seen online and would love that end result.