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Lash intake form
How did you hear about The Luminous Brow ?
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Have you ever had lash extensions?
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required
Yes
No
Have you ever had an allergic reaction to extensions?
Yes
No
Have you been treated for any eye illness or injury?
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required
Yes
No
Please list all allergies
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Do you wear contacts or glasses?
Contacts
Glasses
Do you habitually rub, pull, or pick your lashes for any reason?
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Yes
No
Anything else you need us to know?
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Are you over 18 years old?
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required
Yes
No