EmailMe Form - Timeless Beauty Survey

Timeless Beauty Survey
Please take time to answer everything for a free pampering session. :)

What do you use for your face?

Soap

Facial wash

None

Have you ever had a facial?

Yes

Do you use sunblock
when going out?

Yes

Do you use moisturizer?

Yes

Given a chance to treat
anything in your face,
which would you choose
to have treated?

Dark spots

Fine lines & wrinkles

Pimples

Eyebags

Uneven skin tone

Pimple scars

Others

None

For Others, please specify:

Name *

Prefix

First *

Last *

Suffix

Age

Mobile number *

Email

Please indicate preferred date of the pampering session: *

YYYY

We are open Mondays-Saturdays

Preferred Time *

Preferred Venue *

Ortigas Lounge

Makati Lounge

*exact locations will be sent via SMS

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