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Nastran Skin Care

Personalized Skin · Wellness · Rejuvenation Consultation

Wellness & Skin Profile

Tell us about your skin, your routine and your health. Your answers go securely to our customer care team at nastrancustomercare@nastranskincare.com, who will review them and prepare personalized recommendations for you. Questions marked * are required.

Would you also like a nutrition & lifestyle plan? Complete the Nastran Signature Wellness Profile™ as well.

Client information
How did you discover Nastran Skin Care?
Skin profile & current concerns
How would you describe your skin type?
How does your skin typically feel after cleansing?
Which of the following best describes your skin concerns today?
What are your primary skin concerns?
Skincare goals
What is your primary goal for receiving Nastran Skin Care services?
Current skincare routine
How would you describe your current skincare routine?
Which skincare products are you currently using?
How often do you use sunscreen?
Professional skincare history
Have you previously received professional skincare or aesthetic services?
Have you ever experienced an unexpected reaction following a facial, peel, laser treatment, or other aesthetic service?
Health & skin safety information
Are you currently taking any prescription medications, over-the-counter medications, vitamins, supplements, or herbal products?
Are you currently using, or have you recently used, any of the following?
Do you have any known allergies or sensitivities to medications, skincare products, cosmetics, fragrances, latex, or specific ingredients?
Do you have a history of any of the following?
Are you currently pregnant, planning pregnancy, or breastfeeding?
Wellness & lifestyle
How would you describe your current stress level?
How would you describe your sleep quality?
Approximately how much water do you drink each day?
How would you describe your current nutrition?
How often do you exercise or engage in physical activity?
Your Nastran Skin Care experience
What matters most to you when choosing a skincare professional?
Client acknowledgment

I understand that aesthetic services should not be considered a substitute for medical examination, diagnosis, or treatment. I understand that I should consult a physician or other licensed medical professional for any physical or mental health condition of which I am aware.

I understand that Nastran Skin Care is not qualified to diagnose, prescribe, or treat any physical or mental illness, and that any statements made during the session should not be interpreted as medical diagnosis or treatment.

Because certain medical conditions may affect aesthetic services, I confirm that I have disclosed all known medical conditions and have answered all questions honestly. I agree to inform Nastran Skin Care of any changes in my medical condition or health history and understand that Nastran Skin Care shall not be held liable if I fail to provide such information.

Today's date is recorded with your signature when you submit.