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Please fill out the "Are You a Candidate?" questionnaire below. This form will help us evaluate your situation and get back to you with our recommendations.

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Email* Please add info@permanentchoice.com to your email's address book:

  Phone*:
 
Best Time of day to contact you:
Our Location closet to you:
   
  Service(s) of Interest*: (please choose all that apply)
  Laser Hair Removal | Electrolysis | Sun Damage (Photo Rejuvenation) | Skin Tightening
  Microdermabrasion & Chemical Peels | MicroLaser Peel | Profractional | Broken Capillaries
  If interested in our hair removal treatments. How are you currently treating the excess hair? *
  Shaving | Waxing | Tweezing | Bleaching | Creams | Other
  What Area(s) are you concerned or interested in having treatments performed (please choose all that apply)? *
  Legs | Underarms | Face | Bikini | Back | Chest | Other
  Are you tan in these areas? Yes | No
  Your skin type*:  
 

Fitzpatrick Skin Types I-VI

Always burns, never tans.

Extremely fair skin & blonde hair.

Always burns, sometimes tans.

Fair skin & sandy to brown hair.

Sometimes burns, always tans.

Medium skin & brown hair.

Rarely burns, always tans.

Olive skin & brown/black hair.

Moderately pigmented.

Dark brown skin & black hair.

Black skin.

Black skin.

  Eye Color: Green | Blue | Brown | Black | Other
  Hair Color in Areas of Treatment*:

Red | Gray | Light/Blonde | Brown | Black

  Hair Type*: Coarse | Fine
  Your Age*:
  Gender: Female | Male | Transgender
  Additional Comments: (please put additional comments below)
 
   
   
 

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Ten Minnesota Locations - Make your appointment today.

Apple Valley
Eden Prairie
952-898-1111
612-338-2811
651-407-9876
507-345-6966
507-536-7931
651-730-0700
763-420-6606
320-229-7610

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