Are You A Candidate For Laser Hair Removal? By Miami Laser Hair Removal

Do you know that not everyone is a candidate for laser hair removal?

Miami Laser Hair Removal located in Bay Harbour ( Miami Beach), Florida has compiled together a questionnaire to determine candidacy for laser hair removal for both men and women.

Fill out this free confidential survey ( your information will not be released to a third party) to find out if you're a candidate for laser hair removal.
Simply copy this form, paste it on to your e-mail service and e-mail it to: Miamilaserhairremoval@gmail.com

Which of these methods did you use to get rid of your unwanted hair?
Nothing
Waxing
Tweezing
Shaving
Electrolysis
Bleaching
YOUR ANSWER: _____________________________

What color is your skin?
White
Olive
Brown
Dark
Indian
Black
YOUR ANSWER: _______________________________

What color is your hair?
Dark
Blonde
Red
Grey
White
YOUR ANSWER: _______________________________

Which area are you interested in having treated?
YOUR ANSWER: ____________________________________________________________________

Do you have a sun tan?
YOUR ANSWER: ________________________________

Are you currently on any medications? If yes, which medication/s?

YOUR ANSWER: ____________________________________________________________________

Would you like to receive free e-BOOKS on laser hair removal and skin care issues? If yes, please provide your e-mail address. We hate SPAM as much as you do, we will NOT share your e-mail address.

YOUR E-MAIL ADDRESS: _________________________


PERSONAL INFORMATION: WILL REMAIN CONFIDENTIAL
Name: ______________________________
Address: ___________________________________
City: __________________________________
State: _________________________________
Zip Code: ______________________________
Phone Number: __________________________

Would you like us to call you? We will not call you if you do not indicate that you want to receive a phone call.
YES: _______
NO: _______

What e-mail address do you want us to send your free analysis to?

YOUR E-MAIL ADDRESS: ____________________________________________

Miami Laser Hair Removal
www.miamilaserhairremoval.com
E-mail: miamilaserhairremoval@gmail.com

IF YOU HAVE ANY PROBLEMS COPYING AND PASTING THIS SURVEY PLEASE SEND US AN E-MAIL TO: MIAMILASERHAIRREMOVAL@GMAIL.COM AND WE WILL E-MAIL YOU THE FORM.
1037 Kane Concourse. Bay Harbour. Florida. 33154
305.864.3333