Facial Waitlist - Ageless Ashley

Facial Experiences
Waitlist
Mentorship
Workshops
Clinic Locator
Shop Skincare
Shop Merch
$0.00
0

Facial Experiences
Waitlist
Mentorship
Workshops
Clinic Locator
Shop Skincare
Shop Merch
$0.00
0

New Client Application

Join The Waitlist

If you would like to be added to my waitlist to receive an integrative luxury facial in Phoenix, AZ or receive the password to access to my highly curated selection of skincare products inside of the Evolve Shop Online,
please complete this application in entirety.
Password will be sent with product suggestions with 72 hours.
Waitlist inquires will be responded to in the order they are received.

First Name

Last Name

Have you ever ordered from The Evolve Shop online or seen Ashley for Facials? If yes, please provide the e-mail address used so we can verify.

What can Ashley help you with?

How did you hear about Ashley?

What city do you live in?

Are you taking any prescription medication and are you currently under the care of a Dermatologist?

Please list all nutritional supplements you are consuming whether they are in powder, liquid or capsule form:

Do you consume dairy/gluten/processed sugar? How often? Can you describe your typical day to day nutrition?

What are your main skin concerns?

Do you have have specific goals in mind with a hopeful time-frame?

Please describe your morning and evening skincare routine IN DETAIL.

What best classifies your skin type/condition? (Check all that apply)

Dry Oily Combination Acne Prone Damaged from sun/environment Saggy Dull Compromised Barrier Inflamed Rosacea Eczema

Do you wear SPF daily? Do you reapply every 2 hours?

Do you do any weekly treatments on yourself at home for your skin? Any treatment masks/peels?

How would you describe your stress level?

Extremely High High Moderate Low Non-existent

Are you willing to invest in and commit to using all recommended skincare products/homecare in order to achieve your desired results?

These are the only days that an opening may be available in the future:

Tuesdays 9am-1pm Wednesday 9am-1pm Thursday 9am-1pm I would like to access the Evolve Shop Online

Facial Experiences
Waitlist
Mentorship
Workshops
Clinic Locator
Shop Skincare
Shop Merch
$0.00
0

Facial Experiences
Waitlist
Mentorship
Workshops
Clinic Locator
Shop Skincare
Shop Merch
$0.00
0

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