You can always press Enter⏎ to continue
Get Access: Skin Health Questionnaire
Get Access: Skin Health Questionnaire
Estimated Time: 6-7 min
36Questions
Parallel: Waitlist form
  • 1
    Press
    Enter
  • 2
     
     

    Welcome to the future of skin health.

    Our personalized approach helps you understand your skin microbiome type and skin age to make better choices to support better skin aging, clarity, and resilience.

     Please fill out this skin health questionnaire to continue on your Parallel Health journey.


    Press
    Enter
  • 3
    Press
    Enter
  • 4
    -
    Pick a Date
    Press
    Enter
  • 5
    Press
    Enter
  • 6
    Press
    Enter
  • 7
    Email Verified

    The verification code has been sent to some@email.com
    Please check your mailbox and paste the code below to complete verification

    Didn't receive verification code? or
    Receiving the email may take a few minutes, thank you for your patience!
    Press
    Enter
  • 8
    Press
    Enter
  • 9
    Please provide a street address (no P.O. boxes please).
    Please Select
    • Please Select
    • United States
    • Afghanistan
    • Albania
    • Algeria
    • American Samoa
    • Andorra
    • Angola
    • Anguilla
    • Antigua and Barbuda
    • Argentina
    • Armenia
    • Aruba
    • Australia
    • Austria
    • Azerbaijan
    • The Bahamas
    • Bahrain
    • Bangladesh
    • Barbados
    • Belarus
    • Belgium
    • Belize
    • Benin
    • Bermuda
    • Bhutan
    • Bolivia
    • Bosnia and Herzegovina
    • Botswana
    • Brazil
    • Brunei
    • Bulgaria
    • Burkina Faso
    • Burundi
    • Cambodia
    • Cameroon
    • Canada
    • Cape Verde
    • Cayman Islands
    • Central African Republic
    • Chad
    • Chile
    • China
    • Christmas Island
    • Cocos (Keeling) Islands
    • Colombia
    • Comoros
    • Congo
    • Cook Islands
    • Costa Rica
    • Cote d'Ivoire
    • Croatia
    • Cuba
    • Curaçao
    • Cyprus
    • Czech Republic
    • Democratic Republic of the Congo
    • Denmark
    • Djibouti
    • Dominica
    • Dominican Republic
    • Ecuador
    • Egypt
    • El Salvador
    • Equatorial Guinea
    • Eritrea
    • Estonia
    • Ethiopia
    • Falkland Islands
    • Faroe Islands
    • Fiji
    • Finland
    • France
    • French Polynesia
    • Gabon
    • The Gambia
    • Georgia
    • Germany
    • Ghana
    • Gibraltar
    • Greece
    • Greenland
    • Grenada
    • Guadeloupe
    • Guam
    • Guatemala
    • Guernsey
    • Guinea
    • Guinea-Bissau
    • Guyana
    • Haiti
    • Honduras
    • Hong Kong
    • Hungary
    • Iceland
    • India
    • Indonesia
    • Iran
    • Iraq
    • Ireland
    • Israel
    • Italy
    • Jamaica
    • Japan
    • Jersey
    • Jordan
    • Kazakhstan
    • Kenya
    • Kiribati
    • North Korea
    • South Korea
    • Kosovo
    • Kuwait
    • Kyrgyzstan
    • Laos
    • Latvia
    • Lebanon
    • Lesotho
    • Liberia
    • Libya
    • Liechtenstein
    • Lithuania
    • Luxembourg
    • Macau
    • Macedonia
    • Madagascar
    • Malawi
    • Malaysia
    • Maldives
    • Mali
    • Malta
    • Marshall Islands
    • Martinique
    • Mauritania
    • Mauritius
    • Mayotte
    • Mexico
    • Micronesia
    • Moldova
    • Monaco
    • Mongolia
    • Montenegro
    • Montserrat
    • Morocco
    • Mozambique
    • Myanmar
    • Nagorno-Karabakh
    • Namibia
    • Nauru
    • Nepal
    • Netherlands
    • Netherlands Antilles
    • New Caledonia
    • New Zealand
    • Nicaragua
    • Niger
    • Nigeria
    • Niue
    • Norfolk Island
    • Turkish Republic of Northern Cyprus
    • Northern Mariana
    • Norway
    • Oman
    • Pakistan
    • Palau
    • Palestine
    • Panama
    • Papua New Guinea
    • Paraguay
    • Peru
    • Philippines
    • Pitcairn Islands
    • Poland
    • Portugal
    • Puerto Rico
    • Qatar
    • Republic of the Congo
    • Romania
    • Russia
    • Rwanda
    • Saint Barthelemy
    • Saint Helena
    • Saint Kitts and Nevis
    • Saint Lucia
    • Saint Martin
    • Saint Pierre and Miquelon
    • Saint Vincent and the Grenadines
    • Samoa
    • San Marino
    • Sao Tome and Principe
    • Saudi Arabia
    • Senegal
    • Serbia
    • Seychelles
    • Sierra Leone
    • Singapore
    • Slovakia
    • Slovenia
    • Solomon Islands
    • Somalia
    • Somaliland
    • South Africa
    • South Ossetia
    • South Sudan
    • Spain
    • Sri Lanka
    • Sudan
    • Suriname
    • Svalbard
    • eSwatini
    • Sweden
    • Switzerland
    • Syria
    • Taiwan
    • Tajikistan
    • Tanzania
    • Thailand
    • Timor-Leste
    • Togo
    • Tokelau
    • Tonga
    • Transnistria Pridnestrovie
    • Trinidad and Tobago
    • Tristan da Cunha
    • Tunisia
    • Turkey
    • Turkmenistan
    • Turks and Caicos Islands
    • Tuvalu
    • Uganda
    • Ukraine
    • United Arab Emirates
    • United Kingdom
    • Uruguay
    • Uzbekistan
    • Vanuatu
    • Vatican City
    • Venezuela
    • Vietnam
    • British Virgin Islands
    • Isle of Man
    • US Virgin Islands
    • Wallis and Futuna
    • Western Sahara
    • Yemen
    • Zambia
    • Zimbabwe
    • Other
    Press
    Enter
  • 10
    Where you live affects your skin microbiome!
    Press
    Enter
  • 11
    Press
    Enter
  • 12
    1 being VERY UNHEALTHY (far left), 5 is NOT SURE (center), and 10 is VERY HEALTHY (far right). Note: the default answer is "6". To change, move the slider left or right.
    1
    2
    3
    4
    5
    6
    7
    8
    9
    10
    1
    2
    3
    4
    5
    6
    7
    8
    9
    10
    Press
    Enter
  • 13
    1 being VERY DRY (far left), 5 is COMBINATION (center), and 10 is VERY OILY (far right) Note: the default answer is "6". To change, move the slider left or right.
    1
    2
    3
    4
    5
    6
    7
    8
    9
    10
    1
    2
    3
    4
    5
    6
    7
    8
    9
    10
    Press
    Enter
  • 14
    1 being NEVER (far left), 5 is OCCASIONALLY (center), and 10 is CONSTANT (far right) Note: the default answer is "6". To change, move the slider left or right.
    1
    2
    3
    4
    5
    6
    7
    8
    9
    10
    1
    2
    3
    4
    5
    6
    7
    8
    9
    10
    Press
    Enter
  • 15
    1 being NEVER (far left), 5 is OCCASIONALLY (center), and 10 is CONSTANT (far right) Note: the default answer is "6". To change, move the slider left or right.
    1
    2
    3
    4
    5
    6
    7
    8
    9
    10
    1
    2
    3
    4
    5
    6
    7
    8
    9
    10
    Press
    Enter
  • 16
    Check all that apply
    Press
    Enter
  • 17
    Press
    Enter
  • 18
    Press
    Enter
  • 19
    1 being NOT STRESSED AT ALL (far left), 5 is FAIRLY STRESSED (center), and 10 is EXTREMELY STRESSED (far right) Note: the default answer is "6". To change, move the slider left or right.
    1
    2
    3
    4
    5
    6
    7
    8
    9
    10
    1
    2
    3
    4
    5
    6
    7
    8
    9
    10
    Press
    Enter
  • 20
    1 being NEVER (far left), 5 is 3-4 DAYS/WEEK (center), and 10 is EVERY DAY (far right) Note: the default answer is "6". To change, move the slider left or right.
    1
    2
    3
    4
    5
    6
    7
    8
    9
    10
    1
    2
    3
    4
    5
    6
    7
    8
    9
    10
    Press
    Enter
  • 21
    1 being NONE (far left), 5 is 3-4 CUPS/DAY (center), and 10 is MORE THAN 8 CUPS/DAY (far right) Note: the default answer is "6". To change, move the slider left or right.
    1
    2
    3
    4
    5
    6
    7
    8
    9
    10
    1
    2
    3
    4
    5
    6
    7
    8
    9
    10
    Press
    Enter
  • 22
    Press
    Enter
  • 23
    Check all that apply
    Press
    Enter
  • 24
    Press
    Enter
  • 25
    Press
    Enter
  • 26
    i.e. mascara, foundation, eyeliner, powder, etc.
    Press
    Enter
  • 27
    Press
    Enter
  • 28
    i.e. cleanser, moisturiser, serums, sunscreen, etc.
    Press
    Enter
  • 29
    Press
    Enter
  • 30
    Press
    Enter
  • 31
    Make between 1 and 2 choices
    Press
    Enter
  • 32
    If not taking any prescriptions, write "N/A"
    Press
    Enter
  • 33
    Check all that apply
    Press
    Enter
  • 34
    Press
    Enter
  • 35
    Press
    Enter
  • 36
    Press
    Enter
  • 37
    Press
    Enter
  • 38
    Press
    Enter
  • 39

    We appreciate you! If you have any questions, feel free to reach out to us at hello@parallelhealth.io.

    Press
    Enter
  • 40
    Press
    Enter
  • 41
    Press
    Enter
  • 42
    Press
    Enter
  • 43
    Press
    Enter
  • 44
    Press
    Enter
  • 45
    Press
    Enter
  • 46
    Press
    Enter
  • 47
    Press
    Enter
  • Should be Empty:
Question Label
1 of 47See AllGo Back
close