3. What is your gender?
Select Gender* Male Female Rather Not Say
4. Which statement best describes your skin?
Which statement best describes your skin?* Very fair skin & burns instantly in the sun Fair skin, burns easily & tans poorly Medium white to olive skin, sometimes burns but usually tans Olive/brown skin, rarely burns & always tans Brown skin, never burns & always tans Black skin, never burns & always tans
5. Tell us about your skin concerns (select all that apply to you)
6. Describe your current daily skincare routine, including any skincare brands you are using.
7. What are your top 3 skin concerns?
8. How much do you spend on skincare products?*
How much do you spend on skincare products? I don’t mind, quality is more important than price I prefer to use mid-priced products I prefer to use low-priced products
9. Is there anything else worth noting? Any skin conditions we haven’t mentioned, any medical history or medication, or if appliable, are you pregnant?
10. Do you have any allergies?
11. Would you like to upload a photo? (optional) Make up free, natural light, close up
12. When is best to contact you?
Preferred time of day Morning Afternoon Evenings
