Get Micro-needling Questionnaire

Completing the Micro-Needling Questionnaire online is an essential step to ensure your safety and optimal results during treatment. This guide provides clear instructions for each section of the questionnaire to help you navigate the process seamlessly.

Follow the steps to accurately complete the Micro-Needling Questionnaire.

1. Press the ‘Get Form’ button to obtain the form and open it in your editor.
2. Begin by indicating whether you have previously undergone micro-needling by checking 'Yes' or 'No'. If you select 'Yes', provide the date of your last treatment and the name of the practitioner who performed it.
3. Answer personal health questions by checking 'Yes' or 'No' for conditions such as pregnancy, diabetes, allergies, and any current skin infections. Provide additional details if necessary, especially if you answered 'Yes' to certain questions.
4. Respond to questions regarding your medical history, including any chronic skin conditions, history of keloid scars, and any medications you are currently taking. Be thorough in your responses to ensure accurate assessment.
5. Address the section concerning recent treatments or products used in the last 48 hours, such as sun exposure, chemical peels, or injectables. Provide exact details for any prior treatments to facilitate proper care.
6. Review your answers carefully, making sure all questions have been answered and all necessary explanations provided. Ensure that the technician's reviews and explanations of pre-procedure information have been acknowledged.
7. Finally, sign and date the form to confirm that you have completed the questionnaire and understood the provided information.
8. Once all steps are complete, save your changes. You can then download, print, or share the completed questionnaire as needed.

Complete your Micro-Needling Questionnaire online today to ensure a safe and effective treatment experience.