التقييم الافتراضي للعناية بالبشرة

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 ?

YesNo

Have you used benzoyl peroxide in the last two weeks ?

YesNo

Is your skin sensitive ?

AlwaysSometimesRarelyNever

Are you pregnant ?

YesNo

Do you often feel stressed?

NeverRarelySometimesAlways

Do you regularly consume any of the following?

DairyWheatProcessed/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

Description