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johannesburg spa
Aronia Day Spa
p. 011.447.1204 | contact us
9 11th avenue | houghton, johannesburg

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your aroniatherapy questionnaire

Answer all questions based upon how you feel now. Once complete, click submit & your answers will be sent to our team for analysis & we will reply with your selected aroniatherapy experience, giving you the top 5 herbs & botanicals that would best enhance your visit.

Email Address: Phone Number: ex: 0114471204
Please rate yourself in the following areas, check all that apply:
  1. Have you recently experienced any of the following:

  1. Are you currently experiencing any of the following:

  1. Are you currently experiencing any pain?

  1. Do you suffer from any of the following conditions:

    respiratory issues (chronic or temporary)
    menstrual cramping (current)
  1. Please check any of the following body concerns:
    dry skin
    oily skin

  1. Select any of the following skincare concerns with your face:

    sensitivity (to product or touch)

Please list any allergies or other considerations:

Thank you for your participation. Please do not forget to click submit.
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