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What is your Skin Condition?

Skin Type* Oily Dry Combination Normal

How sensitive is your skin?* Rarely Red Sometimes Red All the time Red

What is the texture of your skin* Shiny all over Shiny on the T zone No Shine at all Dry and flaky

Are your skin pores visible* No not visible at all Very Fine Medium Enlarged

How does your skin look* Dull Pigmented Visible Fine Lines Loose & Sagged Oily

Do you feel tightness around the mouth area* No Sometimes Often All the time

How often do you get pimples* Rarely Once a month Every Week Every Day

How long and regular is your Sun Exposure* Daily exposure, less than 2 hrs Daily exposure , More than 2 hrs Some days in the week , 2 hours Some days in the week, more than 2 hours

What is your main skin concern?* Pigmentation Acne Ageing

How has your skin changed in the last 5 years?* Dull Dry and Mature Pigmented Scarred

Describe the Ageing visible on your skin* Not Firm, beginning to Sag Expression Lines Deep Wrinkles