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1. Is this your first facial
2. Are you presently under a physician’s care for any current skin conditions or problems
3. Are you pregnant?
4. Are you taking birth control pills?
5. Are you presently using (used in the past) Azlex, Differin, Renova, Retin-A, Tarazac, Glycolic or Alpha Hydroxy Acids?

Thanks for submitting!

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