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Contact
Name and Surname
Email
Telephone or WhatsApp
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Nationality
Where are you writing to us from?
Are you minor?
Yes
No
How old are you?
Blood type
A+
A-
B+
B-
AB+
Ab-
O+
O-
What is your weight in kg?
Height
Do you have a health condition?
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No
Please indicate your problem
Have you had cosmetic surgery?
Yes
No
Please indicate the surgery you have had.
Have you had COVID?
Yes
No
Do you smoke?
Yes
No
What procedures are you interested in?
Estimated budget you have to invest for the procedure:
5000 7000 USD
7000 a 10.000 USD
10,000 or more USD
Do you have the money to invest in your surgery?
Yes
No
How much money exactly do you have in dollars?
If you don't have the money, are you willing to take out a loan?
Yes
No
Yes, I have the money
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