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* NAME
* EMAIL
* MOBILE NUMBER
* AGE
* GENDER
* ADDRESS
* WHICH FACE WASH DO YOU USE?
* SKIN TYPE
HOW DO YOU TAKE CARE OF YOUR SKIN DAILY & WHAT PRODUCTS & STEPS DO YOU USE TO ACHIEVE THAT ?
*HOW WOULD YOU LIKE TO IMPROVE YOUR SKIN ,WHAT IS IT THAT YOU DESIRE FOR YOUR SKIN ?
DO YOU HAVE ANY MAIN CONCERN OR PROBLEM ON YOU SKIN ?
WOULD YOU LIKE A DETAIL PRESCRIPTION OR JUST WANT TO GET A FEEL OF OUR PRODUCTS ?
HOW MUCH WOULD YOU LIKE TO SPEND ON YOUR PRESCRIPTION ?
UPLOAD YOUR SELFIE IN SUN LIGHT ?
*(JPG, PNG)

* REQUIRED FIELDS