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First name
Last name
CONTACT NUMBER
EMAIL ADDRESS
AGE
Which of the following services would you like a consultation for?
SKIN
AESTHETICS
BODY
Which statement best reflects how you want to look & feel?
What is your present skin type?
What do you like about your skin?
What do you dislike about your skin?
If you could enhance one aspect of your skin, what would it be?
How often to do get a facial?
Have you had a consultation or treatment for a cosmetic procedure before?
What is your present skincare regime?
Any allergies or allergic reactions we should be aware of?
Are you pregnant?
Have you had waxing, threading or peel services done in the past 72 hours?
Thank you
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+91 99000 62548
