STYLE.NOTES
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STYLE.NOTES
SERVICES
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Welcome to the first step towards a healthier YOU!
(inside & out)
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Indicates required field
1. Please indicate your full name, weight, height & date of birth?
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eg; Daisy Brook, 70kg, 150cm, 5th Feb 1985.
2. What is your main beauty concern? (eg, hair loss, wrinkles, etc)
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List the beauty issues you would like to address through your diet.
3. Do you have any food allergies & diet restrictions?
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Eg; Yes, I am vegan and allergic to nuts.
4. Are you pregnant or on any long-term medication? (If so, please indicate)
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Eg; No, im not pregnant. Yes, i am on blood thinners.
5. Name meals that you love and would like to keep in your diet. How often do you eat them now?
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instant noodles - 3x a week, cake - 2x a week, coffee - 2 cups a day, tea - 2 cups a day.
I'M READY to make a change!
STYLE.NOTES
SERVICES