First Name

Last Name

Email *

Phone *

Instagram handle *

Date of birth *

Gender *

Pronouns

Country of Residence *

United Kingdom

Australia

Ireland

Other

Why do you want to join the Clear Skin Method and work with Faye? *

Please provide a detailed description of skin history and current acne status *

Faye only works with acne, PCOS and post-pill clients - do not complete this form if you are looking for help with other skin conditions

Have you ever taken any of the below medication for acne?

Roaccutane/Accutane

Oral Contraceptive Pill

Antibiotics (Lymecycline, Doxycycline etc)

Other

If yes, what date did you start the current form on contraception and for what reason?

Have you previously been diagnosed with any health conditions? Please include endocrine disorder such as PCOS, Endometriosis etc. *

Are you currently taking any medication or supplements?

Are you currently working with any other practitioners? For example, Naturopath, Nutritionist, Personal Trainer etc.

If yes, who, how long for and for what reason?

Healing your skin is both a time and financial investment. To make sure this programme is the right fit for you, which level of monthly investment are you prepared to commit to?

Less than £100

£100-£250

£250+

Please add a photo of your skin *

The Clear Skin Method requires commitment and accountability from you, to help you to achieve the results that you desire. Therefore, we only accept clients into the method who are ready to change their lives and skin forever. Are you ready to commit? *

Absoluely - I'm raring to go!

Doesn't sound like it's for me (don't submit)

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By checking this box, I consent to receive marketing and promotional messages, including special offers, discounts, new product updates among others. Message frequency may vary. Message & Data rates may apply. Reply HELP for help or STOP to opt-out.