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Question
1
of
6
What are your top skin concerns?
(Select up to three)
π΄
Redness & irritation
β¨
Fine lines & wrinkles
π¦
Dryness & dehydration
π£
Sensitive & reactive skin
π
Enlarged pores
β‘
Uneven skin texture
π
Hyperpigmentation or dark spots
πΈ
Rosacea
β³
Loss of firmness & elasticity
π
Dullness / Lack of glow
β
Prevent premature aging
How would you describe your skin type?
π’
Oily β My skin feels greasy and shiny all over
π΅
Dry β My skin feels tight, flaky, or rough
π
Combination β Some areas (T-zone) are oily, others are dry
π
Normal β Balanced, neither too oily nor too dry
Have you been diagnosed with any of the following?
(Select all that apply)
Melasma
Rosacea
Acne
Atopic dermatitis (eczema)
Seborrheic dermatitis
None of the above
Do you experience any of the following?
π©Ή
Persistent itchiness
Yes
No
π₯
Increased sensitivity to skincare products
Yes
No
π
Skin rashes or breakouts after using new products
Yes
No
π
Slow-healing wounds or frequent skin infections
Yes
No
What’s your age range?
πΉ
Under 25
πΉ
26-35
πΉ
36-45
πΉ
46-55
πΉ
56+
Do you have any body skin concerns?
(Select all that apply)
π₯
Burns or recent scars
πΎ
Eczema or chronic dryness
π
Stretch mark prevention
π
Dry, rough skin
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