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KEARCH Personal Clinic Concierge

Purpose

This survey is for Kearch’s Personal Clinic Concierge Service.
By submitting this survey, you are applying for Kearch’s clinic concierge service.
Please provide as much detail as possible, as your responses will help us match you with one suitable clinic in Korea based on your needs and preferences.
The survey takes approximately 7–10 minutes to complete.

After reviewing your responses, your dedicated Kearch concierge manager will contact you through your preferred contact method within 7 business days to help you move forward with your clinic reservation.

Skip the hassle. Just show up and glow!

Section 1. Basic Information

1. First name

Please write your first name.

2. Last name

Please write your last name.

3. Age

Please write your age.

4. Gender

Please select one.

5. Country / Region of Residence

Please select one.

6. Preferred Language

What language would you like us to communicate in? Please select one.

7. Preferred Contact Method

How would you prefer to chat with us? Please select one.

8. Contact Information

Please enter your preferred contact information.
Examples: LINE ID, WhatsApp number, WeChat ID, Instagram handle, or email address.

Section 2. Clinic Category

9. What type of clinic service are you looking for?

Section 3. Category-Specific Questions

Section 4. Detailed Request

11. Please tell us more about your concern or goal.

Please describe your main concern, when it started, your desired result, and anything you would like the clinic to know.

Example: I want to improve my skin texture and fine lines with minimal downtime. I'm staying in Seoul for 5 days and prefer a clinic near Gangnam.

12. Are there any treatments, procedures, or clinics you already have in mind?

Please share any treatments, clinic names, TikTok / Instagram references, or links you are considering.

Section 5. Clinic Preferences

13. What matters most when choosing a clinic?

Please select up to 5.
Note: More efficient and reasonably priced clinics may not offer private consultation rooms or private treatment rooms.

14. Preferred Area

Please select one.
If you are interested in a clinic outside the listed areas, please select “Other” and write your preferred city or neighborhood.
For example: Busan, Incheon, Jeju, Daegu, or another area in Korea.

Section 6. Trip Schedule

15. When are you planning to visit Korea?

Please write your expected travel dates.

Example: August 15–20, 2026

16. Preferred Clinic Visit Dates

Please provide up to 3 preferred dates and times for your clinic appointment.

Example: Option 1: August 15, morning / Option 2: August 16, afternoon / Option 3: August 18, any time

Note: Some treatments may require more than one clinic visit. Please provide only the dates when you are available to visit the clinic.

17. Where will you be staying in Korea?

Please select one.

Section 7. Medical History & Safety

18. To help ensure your safety, please provide complete and accurate information about your medical history, allergies, current medications, pregnancy/breastfeeding status, and any previous treatments. You are responsible for informing the clinic of any relevant medical conditions or concerns before receiving consultation or treatment. Kearch and the clinic may not be responsible for issues caused by incomplete, inaccurate, or omitted information. Do you agree?

19. Have you had any related treatments before?

Please select one.

20. If yes, please tell us what treatments you had and when.

Please include treatment names, approximate dates, and any reactions or concerns if relevant.

21. Do you have any allergies, medical conditions, or special concerns we should know about?

Please write your answer. If no, please write “No.”
Examples: medication allergies, sensitive skin, keloid tendency, heart disease, diabetes, pregnancy, etc

22. Are you currently taking any medication? If yes, please list all medications you are currently taking.

Please write your answer. If no, please write “No.”

23. Are you currently pregnant or breastfeeding?*

Please select one.

Section 8. Additional Support & Consent

24. Would you also like help with non-clinic beauty services?

Please select all that apply.

25. Is there anything else you would like Kearch to know?

26. Consent

Please check the box below.
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