Please fill in if you would like some guidance on what products or supplements to try for your skin. For a fully bespoke program please book a consultation slot.
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Are you pregnant or breastfeeding?
If you have any allergies? (please list, if none please state NA)
Do you have any medical conditions? (please list if not state NA)
Please give details of all medication you are currently taking, or have taken in the last 6 months. Include topical medications and injections and also any herbal, aromatherapy or home remedies.
Would you like supplement or skin care suggestions?
Please describe what you think is your current skin type and condition?
What is your current skin care routine?
Do you wear sunscreen daily?
Do you take any nutritional supplements?
Is so which ones?
Have you received any skin treatments within the last 6 months from another clinic or salon? (please describe)
Have you previously had any adverse reactions to any skin treatment or product? If so, please describe.
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