SKIN TEST
GDPR
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I consent to the collection, storage, and processing of my personal data as outlined in the Privacy Policy, in compliance with the General Data Protection Regulation (GDPR). I understand that I can withdraw my consent at any time.
1. What is your name?
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First Name
Last Name
2. Email Address
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example@example.com
Phone Number (Optional)
Please enter a valid phone number.
Format: (000) 000-0000.
3. What is your age range?
20's
30's
40's
50's+
4. How would you describe your skin most of the time?
Normal - I don't have major concerns
Dry - Often feels tight and flaky
Oily - Tends to get shiny and greasy
Combination - Some areas are dry, other are oily
Sensitive - Easily irritated and prone to redness
5. How much make up do you use per day?
None
A little
A decent amount
Full coverage
6. How does your skin feel throughout the day?
Stays balanced, no discomfort
Becomes dry and starts to flake
Get shiny and oily
Some areas are dry, others are oily
Often turns red or reacts to skincare products
7. Do you suffer from acne or frequent breakouts?
yes, often
no
sometimes
8. Do you have any hormonal issues? If yes, what specifically?
No
If yes, which ones?
9.Do you take medication or supplements? If yes, witch ones?
No
If yes, which ones?
10. What type of weather do you experience where you live?
Sunny & Tropical
City dweller
Cold winters & mild summers
Dry & hot desert
Cold & dry year-round
Other
11. Do you have dark spots ot uneven pigmentation?
Yes
No
Occasionally
12. Do you smoke?
Yes, regularly
Occasionally
No, never
13. How often do you consume alcohol?
Daily
Occasionally
Rarely
Never
14. How many hours of sleep do you usually get per night?
Less than 5 haurs
5- 6 hours
7 - 8 hours
More than 8 hours
15. Do you experiance stress in your daily life?
Never
Yes, very often
Sometimes
Rarely
No
16.Do you exercise regularly?
Daily
A few times a week
A few times a week
Occasionally
Rarely or never
17.Do you notice any fine lines or wrinkles on your skin?
No, not yet
Only when i smile or male facial expressions
Yes, but they are very fine
Yes, i have visible wrinkles
My wrinkles are deep and prominent
18. Do you have any skin alergies or specific condition
No
Yes ( specify)
19. Which skincare products are you currently using?
(Please attach photos of the products you are currently using (front and back – showing the full ingredients list).For each product, please specify when you use it (morning and/or evening).)
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20. What is your skincare goal?
Hydration
Anti-aging
Even skin tone
Cleansing
Reducing oil
Please upload 3- 4 clear photos of your skin, focusing on problem areas in natural light without makeup
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I consent to Vassilena Cosmetics using the information collected from this assessment to provide personalized skincare recommendations tailored to my specific needs.
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Моля потвърдете, че сте човек
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