Skin AnalysisA questionnaire tailored to help identify what products are best suited for your skin type. Name First Name Last Name Email * How old are you? 14-24 years old 25-35 years old 36-49 years old >50 years old Which products do you use at home? Cleanser Toner Exfoliator Mask Serum Day Cream Night Cream Eye Cream Body Lotion Other: How would you describe your pores? Small pores Large pores Small pores on the cheeks, large pores in the T-zone (forehead, nose and chin) Which term best describes your skin tone and condition? * Normal Pale Reddenned Tanned Matte Oily/Shiny Uneven (pigmentation spots, dark pimple marks) What are your concerns? * Visible red blood vessels Clogged pores/Sebaceous cysts Pimples Flaky/Rough Skin Milia Acne Scars Pigmentation spots None of the above If you take a close look at yourself in the mirror, what does your skin look like to you? My skin is firm and wrinkle free Fine lines and wrinkles are visible... on the forehead around the eyes on other parts of the face Pronounced lines and wrinkles are visible... on the forehead around the eyes on other parts of the face How does your skin look and feel after your daily cleansing? Reddenned Tight feeling Oily in the T-Zone Oily or shiny all over the face None of the above Other: How would you describe the current state of your skin? What results do you wish to achieve? What is your primary concern? Reduce pimples and blemishes Reduce wrinkles and firm facial contours less dull/tired skin More glow Reduce dryness/rough patches Reduce redness Minimize the look of pores Reduce dark spots/pigmentation Other: What are you looking for in a skincare product? Fast-absorbing Rich and nourishing texture Nice Scent Other: How long does your daily skincare routine take and how much do you spend on skincare each month? 5 minutes a day 10 minutes a day More than 10 minutes a day $80/month $150/month $200/month More than $200/month For which skin type are the products you are currently using, and do you have a favourite brand to care for your skin? (Please check two boxes max.) Dry skin Combination skin Oily skin Sensitive skin Mature skin Acne Eczema/Psoriasis Every skin Normal skin Other: Brand(s): Thank you!
