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About Us
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Full Name
Email Address
Phone Number
Age
Skin Type:
Normal
Oily
Dry
Combination
Sensitive
Not Sure
Primary Skin Concerns (select all that apply):
Current Skincare Routine (products and frequency):
Do you have any known allergies to skincare ingredients? If yes, please specify
What are your skincare goals?
Please describe your lifestyle (e.g., diet, exercise, stress levels) and how it might affect your skin
Have you had any professional skincare treatments before? If yes, please specify:
Please describe a specific skin concern you are currently facing and how you believe Lisa Seyz Skincare products and services could help you address it:
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