Skin Hydration Survey

1.What is your Name and Surname?(Required.)
2.Which Skin Renewal branch is your Home Branch?(Required.)
3.If you would like us to update your e-mail address on our client database, please fill in your current email address below?
4.Please specify your age?(Required.)
5.Which of the below concerns you most about your skin?(Required.)
6.Which area of your face is the most bothersome, and showing signs of ageing?
7.Do you live a healthy lifestyle? Select which of the below apply to you?(Required.)
8.The skin needs regular in-salon treatments for effective anti-ageing benefits. Products alone are not enough. Have you had any anti-ageing skin treatments done?(Required.)
9.What facial anti-aging treatments, aside from injectables, have you had?(Required.)
10.The Renewal Institute now offers The Hydra Touch Facial .What does this treatment include?
11.Following a skin care regime, customised to your skin's needs, is vital to give your skin daily nourishment, corrective and protective benefits. Do you have prescribed skin care and a daily routine?
12.To help prevent premature ageing the most important factor is to stay out of the sun! To protect your skin it is vital that you apply a broad spectrum SPF each and every day. Do you use daily SPF?
13.Would you like a Renewal Institute staff member to contact you to discuss the survey?(Required.)
14.Has your disposable income been a hindrance to you being able to do facial anti-aeging treatments?
15.Please take a few moments to give a Facebook review of your experience with your treatments, therapist or branch by clicking on the relevant branch link below:
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