skin analysis questions

First name

Last name

Email

Do you have any allergies

What do you currently use on your face? Tick all that apply.

Soap
Cleanser
Toner
Moisturiser
Eye products
Serum
Mask
Exfoliant

Are you currently using any products that contain the following ingredients? Glycolic Acid, Lactic Acid, Salicylic Acid, Vitamin A derivatives (ie. Retinol)

How would you best describe your skin and the way it feels throughout the day? Tick all that apply

Greasy all over
Greasy on nose and forehead
Tight all over and is sometimes flaky/itchy
Sometimes feels tight on the cheeks
Sore and sensitive
Mild rosacea
Pigmentation
Age Spots
Redness
Irritation
Couperose skin
Liver Spots
Uneven Skin Tone
Other

If you selected other, please describe here

How do you feel about the overall quality of your skin? Select the most accurate response

Bad, I am feeling frustrated with it
Ok, but I would like to make it better
Good, I am reasonably happy
Fantastic, it's never been better

I agree to the Terms & Conditions

Tick if you agree

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