• Skin Analysis Form

  • Format: (000) 000-0000.

  • Your Skin Type & Current Routine

  • How would you describe your skin type?*
  • What is your main skin concern?*
  • Are you taking any of the following actives?
  • How does your skin currently feel, after you have cleansed- before any products?
  • Have you ever had prescription acne treatments / tretinoin or retinoids?
  • How often do you experience breakouts?
  • How often are you exposed to the sun?
  • Have you had any skin treatments recently? Microneedling or Chemical Peels.
  • Date of Form
     - -
    2 digit month, 2 digit day, 4 digit year
  • How can we contact you?

  • To book your skin consultation please contact us.

    Email- cosmeticsbychlo@outlook.com

    Instagram- cosmeticsby_chlo

     

    Book Directly

    Via Faces Consent - Cosmetics By Chlo

     

    We look forward to hearing from you and can't wait to provide you with your skin analysis and product reccomendations. 

    Have a lovely day.
    Nurse Chloe x 

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