Email *

Full Name *

Country of Residence *

United Kingdom

Ireland

Other

Instagram Handle *

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

Please provide a detailed description of current skin concerns. *

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

Roaccutane

Antibiotics (Lymecycline, Doxycycline etc)

Oral Contraceptive Pill

Other

N/A

If you ticked yes to any of the above, please provide dates.

Are you currently on a method of contraception? *

Oral Contraceptive Pill

Fertility Awareness Method

Mirena Coil

Copper Coil

Depo-provera Injection

Other

N/A

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

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

Do you have dietary requirements? *

Vegetarian

Vegan

Pescatarian

Halal

Other

N/A

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

Please upload a photo of your skin. *

The Clear Skin Method requires a blood test to be taken in order for Faye to analyse your results to correlate with the symptoms that you present to get to the root cause of your acne. However, the Clear Skin Method is not to treat, diagnose, cure or slander and should not replace advice from a medical professional. *

I understand

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? *

Absolutely - I am raring to go!

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

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