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Opening Form
Full Name
Email
Are you using any skincare products If yes please specify?
Choose an option
Please specify the produts.
Name of Skin Advisor
Date of Birth
Phone
Have you done any Botox / fillers / laser or facelift surgery procedure before?
Choose an option
What treatment have you started with?
Non surgical eye lift syringe
Peeling gel treatment
Dermi eye device
NON
Was you told about the celebrity guest / special visitor today and are you having the opportunity to meet them?
Choose an option
What is your main wish to improve / change?
face tightening/ sculpting
neck lifting
facial fat removal
forehead wrinkes
pigmentation
rosacea (facial redness)
body tightening
NON
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