How did you hear about The Luminous Brow ?

Have you ever had lash extensions?*

Have you ever had an allergic reaction to extensions?

Have you been treated for any eye illness or injury?*

Please list all allergies

Do you wear contacts or glasses?

Do you habitually rub, pull, or pick your lashes for any reason?*

Anything else you need us to know?

Are you over 18 years old?*