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Client Name Birthdate Occupation Phone Number Email Address Skin Type ? Dry Oily Normal Combination Sensitive Skin Concerns Diseases and Sensitivities Skin Tone Light Medium Dark Hydration Level Low Medium High Acne Level Acne-Prone Areas: Sun Exposure Low Medium High Suggested Routine Purchased Products Skin Needs Care Instructions Notes Fear of Closed Spaces No Yes Client's Consumables? Pregnancy Status None Pregnant Lactating Upload New Image

Client Name Birthdate Occupation Phone Number Email Skin Type ? Dry Oily Normal Combination Sensitive Skin Concerns Diseases and Sensitivities Skin Tone Light Medium Dark Hydration Level Low Medium High Acne Level Acne-Prone Areas: Sun Exposure Low Medium High Suggested Routine Purchased Products Skin Needs Care Instructions Address Fear of Closed Spaces Yes No Client's Consumables? Pregnancy Status Pregnant Lactating Upload New Image

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