Are you currently being treated by your GP or medical specialist?

Do you currently use any medication on a regular base?

Do you currently use anti-clotting drugs?

Do you have any known allergies or are you sensitive to certain materials, drugs or anesthetics?

Are you (possibly) pregnant?

Do you experience neurological diseases or complaints or are you currently being treated by a neurologist?

Do you suffer from an infectious or auto-immune disease?

Do you suffer from a skin disease or do you experience any skin complaints?

Did you ever had a treatment to improve skin conditions like dermabrasion, laser treatment, IPL treatment or a chemical peeling?

Do you suffer from pigment disorders?

Are you suffering from increased sensitivity for light?

Do you suffer from a Herpes infection (e.g. cold sore)?

Do you suffer from any muscular disease?

Do you suffer from hartdisease, vascular or circulation problems?

Do you experience frequent nose bleeding, bruising or suffer from coagulation disorders?

Do you suffer or ever sufferd from a reduced ability to swallow?

Does a relative suffers from a hereditary muscular disease (e.g. congenital muscle weakness, Myasthenia Gravis, etc.)?

Did you recently have surgery of the face?

Are you currently being treated by an ophthalmologist or have you ever been treated by one?

Are you suffering from an eye condition or do you experience any vision problems?

Do you (frequently) experience dryness of the eyes?

Did you have surgery of the eyes or eyelids in the past?

Do you smoke? If so, how many cigarettes a day?