Your Skin Reset

1
Name* This field is required.
First Name
Last Name
2
Phone Number* This field is required.So I can WhatsApp your recommendations
Area Code
Phone Number
3
Age Range* This field is required.
Under 20
20 to 29
30 to 39
40 to 49
50 to 59
60+
4
Are you* This field is required.
A new client
An existing client
5
What Skin Type would you say you have?* This field is required.
Oily/Problem
Dry/Dehydrated
Fairly Normal
Oily with dry areas
6
Your Biggest Skin Concern* This field is required.If you could improve ONE thing about your skin this year, what would it be?(Choose up to two)
Acne/Breakouts
Pigmentation/Dark Marks
Redness/Sensitivity
Uneven Texture/Rough Skin
Fine lines/Loss of Firmness
Dull, tired looking skin
Dehydration/Compromised Barrier
I'm not sure - my skin just feels off
Sensitive due to Rosacea
Inflamed
7
Your Skin Right Now* This field is required.Tick all that apply
Tight or dry after cleansing
Oily but still feels dehydrated
Breaks out easily
Reacts to products or treatments
Flaky or patchy areas
Feels dull even with skincare
Looks tired no matter how much I sleep
8
Have you had professional skin treatments before?* This field is required.
Please Select
Please Select
Yes, regularly
Occasionally
No, this is new for me
9
Have you ever done* This field is required.Select all that apply
Microneedling
Chemical Peels
Laser
None of the above
10
Does Your Skin Tend to* This field is required.
Please Select
Please Select
Heal well
Take long to recover
Become inflamed easily
11
Do you currently use sunscreen most days?* This field is required.
YESNO
12
How consistent are you with skincare* This field is required.
Please Select
Please Select
Very consistent
On and off
I try… but life happens
13
What does "better skin" look like to you?* This field is required.
Clearer skin
Brighter, more even tone
Calmer, stronger skin
Firmer, healthier-looking skin
Low-maintenance, balanced skin
I want to prevent future damage
14
Your Commitment Style* This field is required.To help me recommend a realistic plan
Please Select
Please Select
I want visible results, but I need flexibility
I’m happy with a structured plan
I prefer maintenance and prevention
I’m ready for corrective work if needed
15
WHAT HAPPENS NEXT?

Once you submit your Skin Reset:

I assess your skin clinically, not cosmetically

I identify your primary skin priority

I create a clear roadmap (treatments + timing + home care focus)

You’ll know what we’re doing, why we’re doing it, and what to expect.

No guessing. No hopping between facials.

Just a plan that makes sense.
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