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Biofresh
 
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Skincare Consultation Form

Please complete our free skincare advice form and upload a photo of your skin.Our skincare experts will get back to you within 24 hours with the best advice as to which skincare products and treatments are most beneficial to help you achieve a glowing, healthy complexion.

 Invest in your skin it is going to represent you for a very long time!

All information submitted through this form is held in confidence. We never pass client information to third party companies. You will receive a copy of this form to the email address you provide below, for your records

 

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Your name
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Your email address
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Your phone number
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Age?

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Please describe your skin concerns and what you would like to achieve.
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Describe your daily skincare routine.
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What skincare and makeup products do you presently use?
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How do you describe your skin? (fine lines or wrinkles or dry skin)
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Do you currently have any Medical conditions?

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Do you smoke?

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Do you exercise

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Do you have any skin problems pertaining to your face or body?
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Do you ever experience skin breakouts?
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Have you ever had chemical peels, microdermabrasion or any resurfacing treatments?

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Are you currently pregnant or breast feeding?

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What are your skincare goals?
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Are you on any medication?

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How did you hear about Biofresh?
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Please upload an image of your skin
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PLEASE NOTE: if you are uploading a photograph, depending on the size and your internet speed, it can take up to 2 minutes to send. Do not navigate away from the page until you see the sent confirmation

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