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Your comfort, safety, and trust matter deeply to us.

All information provided below is strictly confidential and will be used solely by Stacey’s Sugaring & Skin Care to ensure you receive the highest level of personalized care.

We’re honored to be part of your self-care journey. This form helps us understand your unique skin, preferences, and any concerns you may have so we can tailor your treatment with intention, compassion, and expertise. Please answer honestly and thoroughly — your comfort is our priority

Birthday
Month
Day
Year
Have you ever experienced sugaring before?
Yes
No
Do you exfoliate and moisturize at least 2-3 times a week?
Yes
No
Do you have any allergies?
Yes
No
Do you have any health conditions?
Yes
No
Do you have or have had:
Are you currently taking any medications or supplements topically or orally?
Yes
No
Are you or have you ever used Accutane?
Yes
No
Are you under the care of a dermatologist?
Yes
No
Are you pregnant or nursing?
Yes
No
What's your current stress level like?
Not stressed
Somewhat Stressed
Really stressed

By signing below you have agreed to the following,

I have read the above information and if I have any concerns, I will address them with my service provider. I permit my service provider to perform the service I have booked. I will not hold her or and her staff liable for any adverse reactions from this treatment. I am willing to follow recommendations made by my service provider to do my part in this transformation process. I am making myself a priority. I will follow my home care routine daily. I know I will only get out what I put in.

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