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Have you had professional facials before?
Yes
No
What are your top skin concerns? (Check all that apply)
Do you have any known allergies to skincare ingredients?
Yes
No
If yes, list them
Are you currently using any prescription skincare (like Retin-A, Accutane, etc.)?
Yes
No
Are you open to committing to 4 facials over 4 months? (One facial every 3-4 weeks)
Yes
No
Are you willing to invest $150-$300 for skincare products to support your facial treatments?
Yes
No
For Other, Use Text Box Below
Would you be comfortable having your before/after photos taken for marketing?
Yes
No
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