hello@epidermissage.nz
07 574 9888
530 Maunganui Rd, Mt Maunganui
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Free Skin Consultation
Full Skin Consultation
Memberships
Our Services
Book Appointment
About
Skin Solutions
Skin Consultation
Ts & Cs
Shop
Skin Types
Acne Prone
Age Softening
Blackheads
Congestion
Dehydrated Skin
Dry Skin
Eczema
Pigmentation
Redness
Scarring
Sensitive Skin
Teen Skin
By Product
Beauty Essentials
Body Care
Hair Care
Skin Supplements
Skin Tool
Sun Defence
By Brand
Henné Organics
Osmosis
People4Ocean
Pure Encapsulations
Roccoco
Skinbetter Science
Smile Makers
TIZO
Other
Gift Vouchers
FINAL CLEARANCE
Free Skin Consultation
Full Skin Consultation
Memberships
Our Services
Book Appointment
About
Skin Solutions
Skin Consultation
Ts & Cs
Shop
By Skin Type
Acne Prone
Age Softening
Blackheads
Congestion
Dehydrated Skin
Dry Skin
Eczema
Pigmentation
Redness
Scarring
Sensitive Skin
Teen Skin
By Brand
Henné Organics
Osmosis
People4Ocean
Pure Encapsulations
Roccoco
Skinbetter Science
Smile Makers
TIZO
By Product
Beauty Essentials
Body Care
Hair Care
Skin Supplements
Skin Tool
Sun Defence
Other
Gift Vouchers
FINAL CLEARANCE
Free Skin Consultation
Full Skin Consultation
Memberships
Our Services
Skin Solutions
Book Appointment
About
Full Skin Consultation
Ts & Cs
Free Skin Consultation
Drop your details here and one of our skin therapists will be in touch with custom product recommendations your skin will love.
Step
1
of
3
33%
Online Consultation for product purchase – FREE
We understand that picking your perfect skincare can be very confusing, fill this form in and one of our skilled skin therapists will get back to you with a skincare routine your skin will be sure to love.
Name
(Required)
First
Last
Date of Birth
(Required)
DD slash MM slash YYYY
Email
(Required)
Mobile
(Required)
What would be the main thing you would like to change about your skin?
(Required)
Are you someone who likes a comprehensive skin routine or someone who would like something more straightforward?
(Required)
Please give a quick breakdown of your current skin care routine:
(Required)
Skin condition questions (please tick the following if it applies to you)
(Required)
My skin feels tight
My skin can look “greasy” during the day
I have flaky patches on my skin
I breakout in my monthly cycle
I can use product that my skin reacts to
What would you like to improve about your skin? (please tick the following if it applies to you)
(Required)
Texture
Redness
Sensitivity
Breakouts
Blackheads/congestion
Pigmentation
Dryness
Oiliness
Line and wrinkles
The general health of my skin
Are you taking any medications or supplements?
(Required)
Yes
No
Please list below
Do you have any known allergies?
(Required)
Yes
No
Please list below
Skin Image Upload
Photos must be smaller than 4MB and must be in .jpg file format. Please ensure photos are clear and in natural lighting.
Front of Face image
(Required)
Accepted file types: jpg, Max. file size: 4 MB.
Left Side of Face image
(Required)
Accepted file types: jpg, Max. file size: 4 MB.
Right Side of Face image
(Required)
Accepted file types: jpg, Max. file size: 4 MB.
We will be sending out a form with all your skin care recommendations within the week of submitting this form. All our product is available online or instore.
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