Skin Care
Please skip if you are not looking to carry out any skincare.
Skip skincare questions? *
Yes
No
Which of the following do you use in your daily skin care regime? *
CLEANSER
TONER
MOISTURISER
SERUMS
SPF
EXFOLIANTS
Other
How often do you go for facials/beauty treatments? *
Once a week
Once a month
Every 6 month
Once a year
On special occasions
What treatment or facials do you have? *
Hydro Facial
Carbon Laser Peel
Skin Rejuvenation
What type of skin do you think you have? *
Sensitive
Dry
Oily
Combination
Acne prone
Other
Explain your skin care regime *
What are your main skin concerns? *
Scaring
Acne
Dry skin
Blackheads
Pigmentation
Aging
Other:
Do you have any of the following skin conditions? *
Hyperpigmentation
Eczema
Psoriasis
Vitiligo
Moles
Hormonal Issues
Melasma
Age spots
Birthmark
Pigmented lesions
None of the above
Phone
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