Client Intake – Effective Touch

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Your Skin Type:

Normal/Combo Oily Sensitive Dry Mild Acne Moderate Acne Mature & Aging

Have you ever had facials, chemical peels, microdermabrasion or any resurfacing treatments?

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If yes, was it within the last month?

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Are you using Retin-A?

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Are you using Benzoyl Peroxide?

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Have you ever experienced a reaction to any of the following?

Cosmetics Medicine Iodine (shellfish) Latex Pollen Food/fruit Animals Fragrance Alpha hydroxy acids Sunscreens

Do you have any of the below health issues?:

Cancer?

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Chemotherapy?

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Circulatory issues?

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High blood pressure?

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Arthritis?

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Hysterectomy?

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Hormonal imbalances?

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Thyroid?

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Diabetes?

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Pregnant?

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Lactating?

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Planning to be pregnant?

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Psoriasis?

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Recent surgeries?

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Cold Sores?

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Eczema?

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Accutane?

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Antibiotics?

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Birth Control?

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Effective Touch

Effective touch is proud to offer a full line of professional salon and spa services. We always make sure that our clients are satisfied with our service while establishing a relationship of trust and commitment.

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Contact Info

Address: 916 Garland St, Little Rock, AR 72201

Email: murielredden@gmail.com

Phone: +1 501-500-2152

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