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Skin Assessment

Free Skin Assessment

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Question 1 of 12

Full Name

Question 2 of 12

Email

Question 3 of 12

Phone Number

Question 4 of 12

What are your main concerns with your skin and what are the reasons you would like to change/improve this?

Question 5 of 12

What is your Date of Birth?

Question 6 of 12

Are you experiencing any of the following? Tick all that apply!

(Select all that apply)
A

Ageing Lines & Wrinkles

B

Uneven Skintone/ Pigmentation/ Sun Damage

C

Eczema/ Dermatitis or Sensitivity

D

Dry/ Tight, Dehydrated

E

Rosacea/ Redness/ Flare-ups

F

Redness/ Itching/ Burning Sensations

G

Oily/ Blackheads/ Congestion

H

Other

Question 7 of 12

How long have you been experiencing/noticing this?

Question 8 of 12

What is your current skincare routine? Please list all products, including brands, and the order and frequency in which you use them.

Question 9 of 12

What other salon treatments, products, or home devices have you tried in the past, and what results did you get? 

Question 10 of 12

Which options/recommendations would you like me to cover?

(Select all that apply)
A

All Suitable Options: Salon Treatments, Homecare Products & Home Devices

B

Salon Treatments & Homecare Products

C

Homecare Products & Home Devices

D

Homecare Products only

Question 11 of 12

Any further questions or concerns with your skin?

Question 12 of 12

To gauge how critical it is for you to address your current skin concerns, please rate their importance on a scale of 1 to 10. This will help me understand your level of urgency and commitment to finding a solution.

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