Botox Form | Zaza Beauty

Tattoo Removal Questionnaire

Name

Age

Gender

Contact Number

Email

Location of the tattoo(s) you wish to have removed:

Have you ever experienced any adverse reactions to tattoo removal procedures or other medical treatments? If yes, please describe:

Do you have any existing skin conditions (e.g., eczema, psoriasis) or medical conditions that may affect the tattoo removal process? If yes, please specify:

Are you currently undergoing any medical treatment or taking any medications? If yes, please list:

Have you had any recent surgeries or medical procedures? If yes, please provide details:

What is your reason for wanting to remove the tattoo(s)?

Do you have any concerns or expectations regarding the tattoo removal process?

Are you interested in laser tattoo removal or another method?

Tattoo Removal Questionnaire

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