The Skincare Audit – Complimentary Expert Review
Share your skin story for a complimentary, educational review from an expert. This audit is designed to provide clarity and guidance, not a medical diagnosis.
Section 1: Skin Snapshot
Tell us about your skin’s basics.
What is your age range?
*
Under 30
30–39
40–49
50–59
60+
How would you describe your skin most days? (Select up to 2)
*
Dry/tight
Dehydrated
Oily
Combination
Sensitive/reactive
Not sure
Section 2: Main Skin Concerns
Help us understand your top skin priorities.
What are your top skin concerns? (Select up to 3)
*
Fine lines/wrinkles
Loss of firmness/laxity
Dullness/uneven texture
Pigmentation/uneven tone
Redness
Acne/congestion
Enlarged pores
Under-eye concerns
Other
When you look in the mirror, what change would you most like to see in your skin right now? (1–2 sentences)
*
Section 3: Current Skincare Routine
Share your daily skincare habits.
Morning routine: Cleanser
*
Morning routine: Serums/treatments
*
Morning routine: Moisturizer
*
Morning routine: Sunscreen
*
Evening routine: Cleanser
*
Evening routine: Serums/treatments
*
Evening routine: Moisturizer
*
How often do you use active ingredients like retinol, acids, or vitamin C?
*
Daily
A few times per week
Occasionally
Not sure
Section 4: Skin Sensitivity & History
Tell us about your skin’s sensitivities and history.
Have you experienced any of the following? (Select all that apply)
*
Sensitive skin
Rosacea
Melasma
Acne-prone
Eczema/dermatitis
None
Do you experience any of the following with skincare products? (Select all that apply)
*
Burning or stinging with products
Persistent redness
Flaking/tightness
Breakouts after new products
None
Section 5: Medications & Systemic Factors (Optional)
Share if you’re comfortable. This helps us give the best guidance.
Are you currently taking any of the following? (Optional, select all that apply)
Hormone therapy or hormonal birth control
Acne medications
Steroid creams or oral steroids
Thyroid medication
Blood pressure or cholesterol medication
None
Prefer not to say
If you’d like, please share the name of any medication (no doses needed)
Section 6: Treatment History & Openness
Let us know your experience and interest in professional treatments.
Have you had professional skin treatments before?
*
No
Yes
If yes, which treatments have you had? (Select all that apply)
Neuromodulator
Dermal filler
Microneedling
PRP/PRF
IPL/laser
Medical-grade facials
Other
Are you open to in-clinic treatments if appropriate?
*
Yes
Maybe, I’d like to learn more
No, skincare only
Section 7: Goals & Preferences
Share your goals and how you like to approach skincare.
What is your primary skin goal?
*
Prevention/maintenance
Improve skin quality
Address visible aging
Address a specific concern
Not sure
Which best describes your skincare preference?
*
Simple routine
Multi-step if purposeful
Most efficient approach possible
Section 8: Consent & Expectations
Please acknowledge the purpose of this audit.
Is there anything else you’d like me to consider when reviewing your skin? (Optional)
Thank you, your Skincare Audit is now complete
I'll review your responses personally and follow up with tailored feedback based on your skin, goals and current routine. Your audit will focus on what's helping, what can be refined and what may be worth considering next.
Name
First Name
Last Name
Email
example@example.com
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