Testimonial Form

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TELL US ABOUT YOUR EXPERIENCE WITH NEEDLELESS

Please complete our survey and stand a chance to WIN a Smart Skin Hamper worth R1 000 as a prize for completing the survey.

1. Name & Surname: 2. Email address (*for us to contact you should you be the winner of our prize) 3. Phone number: 4. What clinic did you have the treatment at? 5. What treatment did you go for? 6. How many treatments have you had? 7. How did it feel pain wise (1 - 10) 10 being bad? 8. Are you noticing any difference? 9. Please write us a review.

10. Please upload before/after photos if you have any.

Upload

* By completing the survey, I agree that Needleless can use the above
information in their marketing.

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