Please take a moment to fill out our intake form before your visit. Thank you!

Name *
Name
Complexion
Skin Texture
Pore Size
Mind
Emotions
Under Stress
Hair Type
Digestion
Sleep Patterns
I understand, have read and completed this questionnaire truthfully. I agree that this constitutes full disclosure, and that it supersedes any previous verbal or written disclosures. I understand that withholding information or providing misinformation may result in contraindications and/or irritation to the skin from treatments received. The treatments I receive here are voluntary and I release this skin care professional, Jen Stoeckert | Minimal Beauty Studio from liability and assume full responsibility thereof for current and future treatments.