Skincare Routine Consultation

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First up, what should we call you?

First Name

Last Name

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Mobile Number (Preferably one connected to WhatsApp)

Please enter a valid phone number.

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Email

example@example.co.uk

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1. After cleansing your face, how does your skin feels?

a. Skin feels tight

b. Some part of skin feels tight

c. Skin feels nice and relaxed

d. Skin soon feels greasy again

e. Some parts of the skin soon feels greasy again

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A

6

B

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C

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D

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E

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2.How does your skin look during the day?

a. Skin feels tight

b. Some part of skin feels tight

c. Skin feels nice and relaxed

d. Skin soon feels greasy again

e. Some parts of the skin soon feels greasy again

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A

12

B

13

C

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D

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E

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3. Which of the following best describes your skin texture?

a. Rough and Dry

b. Rough and dry in some areas: smooth and soft in others

c. Smooth and soft

b. Rough and oily

e. Slightly rough and oily in some areas; smooth and even in other

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A

18

B

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C

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D

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E

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4. When applying makeup, how does your skin feel?

a. Makeup appears cakey or chalky

b. Makeup clings to dry skin on the cheek and looks cakey or chalky

c. Makeup looks natural and last well throughout the day

d. Makeup “Melts” off throughout the day and appears greasy or streaky

e. Makeup “melts” off on the T-zone throughout the day and appears greasy

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A

24

B

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C

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D

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E

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5. How often does your skin break out in pimples?

a. Never

b. Almost never

c. Rarely

d. Often

e. Only in the T -Zone (across the forehead and down the nose and chin

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A

30

B

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C

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D

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E

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6. Your skin pores are…

a. Tiny to invisible across the face

b. Tiny to invincible in some areas; fine in others

c. Fine across the face

d. Large and Visible across the face

e. Large and Visible in some areas; fine in others

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A

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B

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C

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D

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E

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7. Skin Concerns includes…

a. Flaky patches, dryness, itchiness, discomfort

b. Flaky patches, dryness, itchiness, and discomfort on some areas of the face

c. No major concerns relating to dryness or oiliness

d. Oiliness, breakouts

e. Oiliness and breakouts on some areas of the face

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A

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B

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C

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D

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E

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Sum of A

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Sum of B

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Sum of C

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Sum of D

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Sum of E

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Your skin type is NORMAL TO DRY

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Your skin type is NORMAL

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Your skin type is OILY

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Your skin type is NORMAL TO OILY

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