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0 <br /> cXiffeb"4 bT J�= <br /> at CJffiwt) a <br /> Client Consultation Information <br /> Client Name Date <br /> Phone # (s) <br /> Email Address <br /> Referred by_ <br /> Feesdiscussed <br /> Areas of concern <br /> Appointment Scheduled <br /> What do you like best about your brows? <br /> What do you like lease about your brows? <br /> Do you get Botox? Yes No — If Yes, date of last injection: <br /> Do you use Retin A, or Acutane? Yes No <br /> Exercise? <br /> On a scale of 1 to 10 (11 being no pain tolerance) in Tolerance? <br /> Additional <br /> Notes: <br />