• Skin Clarity Consultation Form

  • Let's get to know your skin

    Please complete this form with as much detail as possible - I’ll personally review your answers and, based on your skin concerns, current routine and goals, I’ll email you with personalised skincare recommendations and where I’d suggest starting.
  • Gender*
  • What are your main skin concerns?*
  • Are there particular areas of your face that you feel are more problematic than others?*
  • How would you describe your skin type?*
  • Have you had any professional skincare treatments in the past 12 months?*
  • How would you describe your current stress levels?*
  • How would you describe your diet overall?*
  • Do you drink alcohol?*
  • Do you smoke or vape?*
  • What is your typical working environment?*
  • Are you currently pregnant or breastfeeding?*
  • Do you currently experience breakouts?*
  • Where do you tend to break out?*
  • What type of breakouts do you typically experience?*
  • Do your breakouts appear to follow any pattern?*
  • Do you live in or around London (within travel distance for in-person treatment)?*
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  • Please take your photos in natural daylight, without makeup, filters or beauty mode. Keep your hair away from your face and avoid taking the photos immediately after exercise or a hot shower.
  • When were these photos taken?*
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    2 digit month, 2 digit day, 4 digit year

  • Skin Goals

  • This free online skin assessment is designed to provide general skincare guidance and product recommendations based on the information and photographs you provide. It does not replace an in-person skin consultation or medical diagnosis. If I feel your concerns require a more detailed assessment, I may recommend booking a Clear Skin Roadmap or seeking advice from an appropriate healthcare professional.

     

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