• Eyelash Serum Safety Questionnaire Form

    Complete this form to help determine your readiness and eligibility for safe eyelash serum use.
  • Are you interested in using an eyelash serum for personal use?*
  • Do you have a history of eye or skin sensitivity?*
  • Are you currently experiencing any eye irritation, infection, or other eye conditions?*
  • Do you wear contact lenses?*
  • Have you ever had an allergic reaction to cosmetics or eye products?*
  • Are you currently pregnant or nursing?*
  • Are you taking any medications or undergoing treatments that affect the eye area?*
  • Have you used an eyelash serum before?*
  • Should be Empty:
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