Hi, What’s Your Name?

*Require

Are You

How Old Are You?

*Age require( 3 - 100 )

What is Your Main Concern?

What's your skin type?

Choose one only

What is your main skin concern?

Where do you tend to breakout?

Select all that apply

How often do you have breakouts?

How severe is your acne condition?

Which of the following skin issues are you currently facing?

May select all that apply

How would you describe the acne scars you’re experiencing?

Are you currently taking any acne medication?

(Accutane, Diane, Doxycycline, Antibiotics, and Isotretinoin)

Which aging concern would you most like to improve on?

How often do you spend your time under the sun per day?

How are your overall stress levels?

Do you wear makeup regularly?

How does it feel when you touch your skin?

Select all that apply

How often does your skin feel red and flushed?

Do you also experience cracked heels and lips?

How often do you experience breakouts or rashes when trying out new products?

Which product is/are missing in your skincare routine?

May select more than one.

What are your skin goals?

Choose up to 2 only

What are your health concerns?

Select all that apply

How often do you experience inconsistent or abnormal bowel movement?

(loose stools, hardened stools, constipation, and diarrhea)

Do you tend to get indigestion or bloating issues?

Do you have any food intolerances or allergies to any of the following food?

Select all that apply

How often do you fall sick?

(Sore throat, cold, flu, cough, mild fever included)

Do you feel tired all the time?

Do you have any of the following conditions?

Select all that apply

Which of these can you relate to?

Select all that apply

How much alcohol intake do you consume in a week?

(including wine, beer, liquor, and spirits)

Do you have any of the following conditions?

May select more than 1

Which body part would you like to trim most?

Select all that apply

How often do you exercise?

Choose your body concern(s).

Select all that apply

Is bodyweight your current concern?

On an average day, how long do you spend on your electronic devices?

Which of these eye health concerns can you relate to?

How often do you take breaks away from your electronic devices?

Are you experiencing any feminine issue(s)?

May select more than one

Do you practice any of the following habits?

If yes, what color is your discharge?

Do you experience any of these during your period?

Are you currently experiencing any menopause symptom(s)?

May select more than one

How would you describe your period cycles?

Have you undergone any menopause-inducing procedure?

Example: Hysterectomy (removal of ovaries)