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Pre-Registration

“Hello, my team and I understand that each person is unique. In order to provide you with the most personalized service, we kindly ask that you answer the following questionnaire. It will be a great pleasure to take care of your Aprimore. Welcome to the Aprimore community.”

Dra. Danielle Gondim

Name*:

Date of birth*:

Telephone*:

Profession*:

Email*:

Instagram:

Full address*:

City*:

Neighborhood*:

Country*:

Weight*:

Height*:

Do you take any medication regularly?YesNo

If so, which one?

Have you had any pregnancies? How long ago was the last one?YesNo

How long ago was the last one?

Do you have any health problems?*

Do you have any allergies to medications?*

Do you smoke?YesNo

Do you practice physical activity?YesNo

What bothers you the most? What do you want to improve?*

Is this complaint yours or is it a suggestion from other people?*

Have you ever had any surgery? What was it? What year?*

Do you consider yourself a vain person?YesNo

Is security important to you?YesNo

When do you plan to have the procedure?*

How did you find out about us? Are you someone's initiate? Who?*

If you wish, send us photos so we can begin a more specific assessment of your case. They, as well as all the information provided above, are completely confidential.

How to take the photo?

Camera distance around 1 m and a half.
It can’t be a selfie. It’s better if someone takes it for you.
Daylight is ideal.
Maintain your posture. Take photos from the front, sides and back (if applicable).
The camera/cell phone must be more or less at the same height as the area that will be photographed and must be straight (if tilted it alters the image).

Send to adm@daniellegondim.com

“Beauty is a diamond with many facets and physical features are just one of them”
Ivo Pitanguy

Dra. Danielle Gondim

Plastic Surgeon – CRM: 5386 – RN – RQE: 11/2143

Graduated from the Ivo Pitanguy Institute (AExPI)

Nose and Face Surgery at Southwestern University of Texas/Dallas

Member of the Brazilian Society of Plastic Surgery (SBCP)

Member of the International Society of Plastic Surgery (ISAPS)

International Member of Master Course in Anging Science (IMCAS)

Dra. Danielle Gondim. CRM: 5386 – RN – RQE: 11/2143