Skin

Tell Us About Your Skin Concerns And Lifestyle So That We Can Formulate A Customized Skincare Regimen That Suits You Best.

You are just few steps away from healthy skin.

Name

Email

Phone

What is your name?

What is your age?

What is your gender?

How does your skin feel after cleansing?

Tight and dry

Shiny and oily

Balanced and comfortable

What is your skin's texture like?

Rough and flaky

Large, visible pores

Smooth and even

How does your skin react to new products?

It gets irritated and red

It doesn’t react much

It can get shiny or break out

How often does your skin get shiny during the day?

Never, it’s always dry

Within a few hours

Varies, sometimes oily, sometimes dry

How does your skin look without makeup?

Dull and dehydrated

Shiny in the T-zone

Naturally radiant

How easily does your skin get blemishes?

Rarely, it’s pretty clear

Frequently, especially around my period

Occasionally, if I use the wrong products

What is the main concern you have with the appearance of your eyes?

Dark circles

Puffiness

Fine lines

Dullness

What is the main cause of your dark circles, in your opinion?

Genetics/heredity

Lack of sleep

Stress

Allergies

Age-related

How easily does your skin get blemishes?

Rarely, it’s pretty clear

Frequently, especially around my period

Occasionally, if I use the wrong products

What type of skin marks or discoloration are you most concerned about?

Acne scars

Age spots/sun damage

Hyperpigmentation (dark patches)

Melasma (hormonal discoloration)

Where on your body do you notice these skin marks the most?

Face

Neck

Chest

Hands

Arms

How long have you been dealing with these skin marks?

Less than 6 months

6 months to 1 year

1-3 years

More than 3 years

As long as I can remember

Thankyou for taking out time for questionnaire, we will connect with you soon.

Disclaimer:
This questionnaire provides a brief overview of your skin concerns and potential contributing factors. It’s recommended to consult a healthcare professional for a diagnosis and personalized treatment plan.

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