Skin Consultation
Radiance Beauty & Training - Jamie
Name
First Name
Last Name
Email
example@example.com
Age
Phone Number
Would you describe your skin as sensitive?
Yes
No
Unsure
How would you describe your skin? If you have some dry patches and other oily, please select combination. Generally, if you breakout then your skin is more likely to be oily or combination.
Oily
Dry
Combination
Do you suffer from...
Pigmentation
Fine Lines
Excessive Oiliness
Large Pores
Scarring
Redness
Rosacea (Diagnosed by GP)
Breakouts
Please provide further information if you ticked any of the above. (What areas of the face / how often you breakout)
What are your main skin concerns / What are you hoping to achieve?
Pleas list your current skin routine. Name all of the products and brands you use in the order that you use them and whether you use them in the AM or PM. If you're unsure, please send a picture of all of your products lined up in order to 07852552114.
Have you had any facial treatments before? (Chemical peel / dermaplaning / lasers / etc.)
Do you regularly go in the sun / use sunbeds?
Do you have any medical conditions or allergies?
Please list any medications that you take (including contraceptives, hormone replacement, etc)
Do you take any vitamins or supplements? Please list them below if you do.
Do you smoke / vape?
Describe your diet. (High in sugar, processed foods, fat, etc.)
What is your job?
I will be recommending an SPF for you to use daily. Would you prefer this to have no colour or be tinted? Would you prefer a matte or glowy finish?
Please upload clear pictures of your skin (ideally in natural light). If you cannot upload them please whatsapp/text the images to 07852552114.
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Any other comments you'd like to provide me with.
Would you like to be added to our mailing list for offers, birthday vouchers and emails?
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