Skin Analysis Questionnaire This questionnaire will give us a better understanding of your skin and make it easier for us to formulate your products. It’ll take you about 5 minutes to complete. Afterwards, we’ll send you the results and our recommendations for your personalized skincare kit. Name* First Last Email* Gender*MaleFemaleHow old are you?*14 - 24 years old25 - 35 years old36 - 49 years old> 50 years oldWhat is your skin type?*OilyDryNormalCombinationWhat are your skin goals? (choose all that apply)* Better, healthier skin Address my skin concerns such as acne, dark spots, hyperpigmentation Please provide information on any skin problem you haveABOUT YOUR SKINCARE REGIMENWhat products are you currently using in your skincare regime?* Cleanser Toner Moisturizer Eye Cream Face Oil Face Mask Exfoliator Serum SPF Others Please tick all that applyIf there are others, please specifyDoes your skin react with redness, itching, burning or dryness on application of skin care products?*YesNoSometimesAre you currently using any prescription skin lightening creams that contain Steroids/Tretinoin/Hydroquinone?*YesNoI don't knowHow's your skin responding to your current regimen?*Very wellNot so wellI'm not seeing any changes yetAre you receiving any of the following treatments?* Botox Micro Needling Microdermabrasion Facials Skin Peels Fillers None Others Please tick all that applyIf there are others, please specifyDo you scrub your face with a sponge?*YesNoSometimesDo you air dry your face or use a towel?*I air dry my faceI use a towelIf you use a towel, do you have a separate towel for your face?*Yes, I doNo, I use the same towel for my face and bodyABOUT YOUR LIFESTYLEDo you wear makeup on a regular basis?*YesNoDo you have any known allergies?*YesNoIf yes, please specifyHow would you describe you stress level?*LowModerateHighHigh, but under controlHow would you describe your diet?*GoodAveragePoorOn average, how many glasses of water do you drink a day?*1-5 glasses6 - 10 glasses10 - 14 glasses15+ glassesOn average, how many hours sleep do you get each night?*0-4 hours4-8 hours8-12 hours12+ hoursDo you smoke?*YesNoSometimesHardly EverDo you pick at your face?*YesNoSometimesDo you put your phone on your ear when answering calls or use earphones?*YesNoSometimesDo you sleep with a satin/silk pillow case and/or bonnet?*YesNoSometimesDo you use any hair products?*YesNoIf yes, please specifyAre you allergic to any skincare ingredient?*YesNoIf yes, please specifyUpload a pictureTo make an even more accurate assessment of your skin, you have the option of uploading three pictures of your face (Front view, Left side of your face and Right side of your face). Please make sure the pictures are clear with good lighting and only submit unaltered pictures without make-up.