Virtual Skin assessment

Discover your skin’s unique needs with a virtual assessment from Tillit Laboratory. Our experts will provide tailored recommendations for radiant, healthy skin. While you complete this form, they’ll prepare personalized advice just for you. Start your journey to better skincare today!

Fillup the form below to Virtually Assess your Skin Concerns

Your name *

Your email *

Your Age*

Gender
MaleFemale

What is your skin concern?
AcneDry SkinRednessOilyOther

What type of skin do you have?*
OilyCombinationNormalDry

Have you been medically diagnosed with?
AcneEczemaRosaceaDermatitisNot diagnosed by physician

What type of acne do you suffer from?
Black headsWhite headsRed bumps (pustules)Large deep bumps (cystic acne)Do not have acne or problem skin

How often do you have breakouts?
EverydayOnceaweekOnceamonth

Where do you breakout the most ?

ForeheadNoseCheeksChinBody

Do you have visible acne scarring ?

Yes

No

Have you used benzoyl peroxide in the last two weeks ?

Yes

No

Is your skin sensitive ?

Sometimes RarelyNeverAlways

Are you pregnant ?

Yes

No

Do you often feel stressed?

Never RarelySometimesAlways

Do you regularly consume any of the following?

Dairy

Wheat

Processed/Sugaryfood

Any comments you would like to add ?

Attaching a photo of your skin condition is very helpful,but don’t worry,only your personal skin care
female consultant sees it

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