Facial Aesthetic Assessment

Confidential Facial Aesthetic Assessment

Step 1 of 4 — Personal Information

Personal Information

Please enter your details to receive your confidential assessment copy.

This confidential assessment helps Dr. Reem understand your facial concerns, lifestyle, and expectations.All information is reviewed personally by the doctor to design a customized, non-surgical treatment plan for the face, neck, and hands only.

Your privacy is respected. No automated decisions. No generic plans.

Let’s Start With You

Which of the following best describes your current situation? (Select all that apply)

What Would You Like to Improve?

Please select the areas you would like Dr. Reem to focus on.

FACE

NECK

HANDS

Your Aesthetic History

Please answer the following (Yes / No).

Have you had Botox before?
Have you had dermal fillers before?
Have you ever experienced complications from aesthetic treatments?

Medical & Safety Information

This information helps ensure safe and appropriate treatment planning.

Do you have any autoimmune diseases?
Do you have any bleeding disorders?
Are you currently pregnant or breastfeeding?
Are you currently using Ozempic or Mounjaro?

What Matters Most to You?

When it comes to aesthetic results, you prefer: (Select one)

How Do You Feel About Your Appearance Today?

Please select one:

Not confident Very confident

Final Step