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If yes, have you taken any medication within the last six months? Including antibiotics.

Yes

I have not began new medication within the past six months.

Have you been under the care of a Dermatologist within the last year?

Yes

Have you been under the care of an Esthetician within the last year?

Yes

Have you received the following treatments within the past three months?

Do you have any skin disorders or diseases that you are aware of?

Yes

Have you been diagnosed with Skin Cancer in your lifetime?

Yes

Have you been diagnosed with Psioasis, Rosacea, Contact Dermatitis, or Eczema?

Yes

I’m not sure.

Do you have mild to moderate, or moderate to severe acne?

Mild to Moderate

Moderate to Severe

I get occasional breakouts

I don’t have acne.

Are you currently pregnant or nursing?

Yes, I am pregnant

Yes, I am nursing

Have you had your blood drawn with your doctor in the past six months?

Yes

If you have had your blood drawn, do you know of any vitamin deficiencies you have?

Yds

Please give a brief description of your current skin care routine!!

Thank you so much for taking the time to take our skin quiz!

We will be in contact with you within 1 week!

After reviewing your results, you will be contacted. We will have a plan designed especially for you, to target your skin concerns.

We cannot said to chat soon!

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