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Home
About
Studio
Products
Treatments
journal
Book Treatments
Basket
Checkout
Shop
Basket
Checkout
Residency
Contact
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Name
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Last
Title
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Other
Date of Birth
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Address
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Email
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Postcode
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Occupation
Mobile
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Home Phone
Emergancy Contact
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Emergency Contact Number
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How did you hear about us:
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Guest at the Sussex Shala
Folde + Sonder website
The Sussex Shala website
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Health conditions:
Piercings
Epilepsy
Diabetes
Thrombosis/DVT
High/low blood pressure
Cancer
Sensitive skin
Skin infections
Hepatitis
Surgery in the last 6 months
Hart conditions
Prosthetics
Claustrophobia
Allergies
Eczema
Psoriasis
Depression/ anxiety
Pregnancy
HIV
Fungal infections/ Athlete’s foot
Other
Skin concerns / conditions:
Sensitive skin
Dry / dehydrated skin
Mature skin / lines / wrinkles
Sun damaged skin / pigmentation
Dark circle / puffiness
Anything you think we should know about?
Have you ever used Roaccutane, Accutane or Retinin A?
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What skincare brand(s) do you currently use?
How would you like to feel after you treatment today?
Rested
Balanced
Energised
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