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Daily Skincare Routine

At Glow Away, we understand that everyone’s skin is unique. That’s why we focus on personalized solutions ...

At Glow Away, we understand that everyone’s ...

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Name *

First

Last

Email *

Contact Number

Preffered Method Of Contact *

Age *

Skin Type *

Skin Concerns

Current Skin Care Routine *

Please Provide any moisturizers, cleansers, Sunscreens, Treatments and Serums (with their brand names included)

Do you have any known allergies or reactions to skincare products? *

Lifestyle Factors *

Include: Diet (balanced, high in sugar, etc.) , Water intake (low, moderate, high), Sleep (hours per night) , Stress levels (low, moderate, high)

Do you use sunscreen regularly? *

Do you spend a lot of time outdoors? *

Past Skin Treatments

Have you had any professional treatments? (Facials, chemical peels, etc.)

Did you use any of the following in the last 3 months?

of you known

Additional Comments

Any other concerns or notes you have about your skin?

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