Health Questions

Please fill out the following form before booking

First name

Last name

Date of birth

Month

Day

Year

Do you have any allergies or sensitivities to: Latex Adhesives Fragrances Makeup products Skincare products?

Yes

Have you experienced any of the following within the last 14 days? Fever or illness Pink eye or eye infection Cold sores Skin irritation/rashes Allergic reactions Recent facial procedures Open wounds near service area

Yes

Do you wear contacts?

Yes

If you answered yes to any of the questions above, please supply additional information.

I understand that Hey Dolly reserves the right to refuse service if any condition may affect safe application.

I understand results may vary depending on skin type, aftercare, and personal sensitivities.

I confirm that the information provided is accurate.

Initials

Schedule your service

No time? Still that doll! 30 min "No Makeup, Makeup"

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