Online skin consult | Harleh Laser Clinic Pukekohe

Spend $300 on Skincare & get a FREE DermaQuest RIQ Retinol Eye Cream!

ONLINE SKIN CONSULT

Complete your questionnaire and we will create a plan of skin care and treatment recommendations – just for you! x

Skin questionnaire

First Name

{{errors.first('rs-0c78-c3f8-ae41', 'rs-0c78-403f-fbf1')}}

Last Name

{{errors.first('rs-0c78-c3f8-b473', 'rs-0c78-403f-fbf1')}}

Email

{{errors.first('rs-0c78-c3f8-e1c8', 'rs-0c78-403f-fbf1')}}

Contact Phone number

{{errors.first('rs-0c78-c3f8-28e9', 'rs-0c78-403f-fbf1')}}

What skin care are you currently using?

{{errors.first('rs-0c78-c3f8-ec13', 'rs-0c78-403f-fbf1')}}

Have you recently had any skin treatments or facials? If so - which ones

{{errors.first('rs-0c78-c3f8-81e9', 'rs-0c78-403f-fbf1')}}

Tell us about your main skin concerns

{{errors.first('rs-0c78-c3f8-af04', 'rs-0c78-403f-fbf1')}}

Does your skin feel tight or dry?

{{errors.first('rs-0c78-c3f8-e233', 'rs-0c78-403f-fbf1')}}

Does your skin feel oily?

{{errors.first('rs-0c78-c3f8-c500', 'rs-0c78-403f-fbf1')}}

Do you have unwanted pigmentation?

{{errors.first('rs-0c78-c3f8-fb6d', 'rs-0c78-403f-fbf1')}}

Upload 2-3 images of your skin concerns

Up to 3 image files (5MB limit per file)

{{errors.first('rs-0c78-c3f8-adb4', 'rs-0c78-403f-fbf1')}}

Address

Thanks for sending your skin questionnaire, we'll be in touch in the next 48 hours with your very own personalised treatment and skin care recommendations x

We'll send you occasional emails with our latest treatments and epic specials. We respect your privacy and will never spam you or share your data. Unsubscribe at any time.

TREATMENTS

SHOP

LASER

PROMOTIONS

Harleh Laser Clinic is an award-winning sanctuary of advanced skin and laser therapy in the gorgeous thriving town of Pukekohe.

CONTACT US

027 HARLEH1 027 427 5341
info@harlehlaserclinic.com
Contact Us

GET TO KNOW US

About Us
Harleh's Journal

VISIT US

52 West St
Pukekohe, Auckland 2120

HOURS

Monday - 9am - by appointment only
Tuesday - 9am till late
Wednesday - 9am till late
Thursday - 9:30am till late
Friday - 9am - 4.30pm
Saturday - 8am - by appointment only

Join our mailing list for first access to our famous specials

We respect your privacy and will never spam you. Unsubscribe at any time.

Loading...