Skin Care History Questionnaire and Waiver Mobile App
Complete this Skin Care History Questionnaire so your Skin Care Specialist will have a better understanding of your general medical history and lifestyle so your skin care needs can be accurately analyzed.
- Signature Capture
- Submission Editing
- Reference Data
This app is customizable so you can detail any skin conditions, skin diseases, and fine lines and wrinkles you may have. You can also list your current skin care regimen, skin care products you use, and other health care and risk factors concerns.
You can download this app onto an iPhone, iPad, or Android device. This survey questionnaire is saved in the GoCanvas Cloud and can be printed or emailed as a PDF if you need to send it to a skin care specialist, health care provider, or keep for your medical history records.