I have read and I understand the questionnaire completely. I have answered the questions truthfully and to the best of my knowledge. I understand that if I withhold any information, that the esthetician is not held liable for any skin reactions due to misinformed information. The service treatments received from the esthetician are voluntary and I release the skincare specialist from any liability and I assume any responsibility thereof. This is not the consultation form for the Acne Bootcamp. The information provided will not be shared with any 3rd parties.