registration | Glo Team Esthetics

Glo Camp Application

First name

Last name

Phone

How long have you experienced acne?

Have you worked with a Dermatologist or an Aesthetician that specializes in acne? If so what was your experience?

If yes, what do you think helped and what didn't work for you? (N/A if you answered No to above question)

Have you had any acne tailored facials or treatments prior to applying to glo camp? If yes what treatments?

Do you currently have a skin care routine?

YES

Are you cleansing twice daily?

YES

Briefly describe your skin goals & struggles

How committed are you to those goals?

Dedicated

Committed

A little work needed

Briefly describe your skin goals & struggles

Why do you believe you haven't achieved your goals on your own?

I only want to work with those who are extremely dedicated to their goals and willing to invest in themselves. If this is you please tell me why I can count on your Commitment?

Describe your personality in 3 words (What makes you, You)

What made you decide to take action and sign up for glo camp? (How do you think this program can benefit you)

Do you have any questions?*