120 Waterloo Corner Road, Paralowie, South Australia
+61 402 378 365
booknow.allure@gmail.com
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Facials
Cosmetic Treatments
Collagen Biostimulator
Excessive Sweating
Fine Lines And Wrinkles
Facial Volume Concerns
Facial Asymmetry Correction
Stubborn Fat
Laser Hair Removal
Laser Skin Rejuvenation
LED Light Therapy
Peels
PRP Skin and Hair
PRP Skin Needling
Hair Regrowth Treatment
Tattoo Removal
Teeth Whitening
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Trusculpt ID – Body Sculpting
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Home
About Us
Services
Facials
Cosmetic Treatments
Collagen Biostimulator
Excessive Sweating
Fine Lines And Wrinkles
Facial Volume Concerns
Facial Asymmetry Correction
Stubborn Fat
Laser Hair Removal
Laser Skin Rejuvenation
LED Light Therapy
Peels
PRP Skin and Hair
PRP Skin Needling
Hair Regrowth Treatment
Tattoo Removal
Teeth Whitening
TruSculpt Flex
Trusculpt ID – Body Sculpting
Resources
Forms
Career
Team
Courses
Contact
Shop T36 Murray Bridge Marketplace, Adelaide, Australia
+61 8 7480 11805
booknow.allure@gmail.com
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BDDQ
Body Dysmorphic Disorder Questionnaire
(BDDQ)
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Please enable JavaScript in your browser to complete this form.
Name
Please read each question carefully and select what is true for you..
Date Of Birth
Date Of Birth
Are you worried about how you look?
*
Yes
No
If yes, do you think about your appearance problems a lot?
*
Yes
No
If yes, please list areas of concern:
If you have answered no to above questions you have finished, otherwise please continue below:
Is your main concern about your appearance that you aren't thin enough or will become too fat?
*
Yes
No
What effect has the issues with your appearance had on your life?
Caused you emotional distress?
*
Yes
No
Significantly interfered with your social life?
*
Yes
No
enough Are Date
Patient Signature
Patient Name
Date
Submit
