Free Online Skin Consultation
Date of Birth
What are your skincare goals?
What are your skin care challenges?
Wrinkles / Fine Lines
Hyperpigmentation / Sun Damage
Acne / Acne Scarring
Redness / Rosacea
Have you ever had a facial or skin treatment before?
What Skin Care Products do you currently use?
Cleanser/ Face Wash
Face Scrub/ Exfoliants
If you are seeking corrective treatments please detail the SPECIFIC products (BRAND & PRODUCT TYPE/NAME) you are currently using so I can best answer any questions on ingredients and help you meet your skin care goals.
Do you/have you used Retin-A, Renova, Adapalene, Accutane, Differin, Glycolic Acid, Lactic Acid, Mandelic Acid, Retinol, or other Vitamin A derivatives?
Yes, currently using
Yes, but not within the last 30 days
Yes, but not within the last 6 months
Do you wear an SPF moisturiser?
Do you exfoliate the skin on a weekly basis?
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