Skin Analysis Please enable JavaScript in your browser to complete this form.Personalizing your Skin Care Routine - Step 1 of 25Name *FirstLastPhone *NextDo you have a Skin Care Routine? *YesNoPreviousNextDo you use Sunscreen? *Yes, EverydaysNo, NeverOccasionalPreviousNextWhat are your main skin concerns?HyperpigmentationAcneDrynessSensitivityFine Lines or WrinklesOilinessDescribe in detail your skin concerns. *PreviousNextHow old are you? *PreviousNextWhat is your gender? *PreviousNextAre you pregnant, breastfeeding or about to be? *YesNoAre you using Birth Control?YesNoPreviousNextHow is your period?RegulatedIrregularI am in menopauseI do not have a period anymoreHow is your hormones?My hormones are regulatedMy hormones are irregularI need to go to the doctor to checkNextDo you smoke? *YesNONextDo you drink alcohol? *AlwaysSometimesNeverNextHow many glasses of water do you drink per day? *2 or less3 or 45 or 66 or 78 or moreNonePreviousNextOn Average , How many hours of sleep do you get per night? *4 or less5-67-89-1010 or morePreviousNextHow stressed are you? *Not StressedMildly StressedModerately StressedVery StressedExtremely StressedPreviousNextWhich of the following items do you consume almost every day? *Sugars or refined carbsProcessed meatsCigarettesProcessed JuicesDairyAlcoholVeggies and FruitsVitamins and SupplementsFresh meatsDescribe your diet routine in detail for better results. Do you consume Carbohydrates, Lactose , Gluten, Soda, Sweetes? How often do you consume ? What Vitamins Are you Taking?PreviousNextHow many hours a day are you in front of a digital screen? (Cellphone, Computer, TV) *0-3 hours4-6 hours7-9 hours10 or morePreviousNextHow much time do you spend under direct sun exposure per day? *None1 or less2-3 hours4-6 hours7 or morePreviousNextMultiple Which of the following skincare products do you use almost every day? *CleanserTonerDay MoisturizerSerum/Emulsion /BoosterNight CreamSunscreenNonePreviousNextDo you use any retinol-based products? *YesNoThe percentage of the retinol is:PreviousNextDo you wear makeup? *YesNoIf yes, How consistently do you remove makeup after you wear it?NeverRarelySometimesOftenAlwaysPreviousNextDo you use a topical prescription on your face? *YesNoIf yes, Please list here:PreviousNextAre there any commonly used skincare ingredients that you’re deathly allergic to? *YesNoIf yes, Please list here:PreviousNext Where you live affects your skin? *Yes, It's coldYes, It's hotNoPreviousNextWhat is your skin type? *OilyDryOily and DryNormalI don't knowPreviousNextDo you have any of these healthy issues ?DiabetesHeart DiseaseEpilepsyTaking medicationsSkin ConditonsBlood PressureNone of themPlease list here your issue if you do not have any of the options above:PreviousNext To make you happier about your results, We would like to analyse your photo. *Where do we should send your results? *Submit
