Page 1 of 6 PERSONAL SKIN DIAGNOSIS In order to create your personal profile the best way possible, please answer all the following questions about your skin type, your lifestyle factors. This will help us to define your skin's identity so we can make recommendations tailored to you and your skin. First name(*) Invalid Input Last name Invalid Input Email(*) Invalid Input Phone/Mobile Invalid Input Please select:(*) FemaleMaleInvalid Input What is your age?(*) Under 18 18-25 26-35 36-50 Over 50Invalid Input How would you describe your skin?(*) FairOliveDarkRed complexionInvalid Input What is your skin type?(*) DryOilyCombinationAcneBlackheadsNormalInvalid Input Skin sensitivity:(*) SensitiveNot sensitiveIntolerant to foodInvalid Input Food intolerance - comment Invalid Input Skin moisture level:(*) DehydratedSurface dryInvalid Input Wrinkles: (Check all that apply) Eye areaMouth areaForeheadNeckInvalid Input Loss of firmness: (Check all that apply) Upper faceLower faceNeckInvalid Input Do you suffer from: (Check all that apply) Facial rednessRosaceaBrown age spotsEczemaInvalid Input What is your lifestyle? (Check all that apply)(*) High level of stressSmockerSmoker environmentFrequent exposure to sun/UVAHealthy and relaxed lifestyleInvalid Input Describe your diet (Check all that apply) Fresh cooked FoodFast foodRestaurant foodRich meatsExcess DairyCrustationSugarSchokoladeAlkoholCoffeWaterHot spicy foodFruitVegetablesWheat productsInvalid Input Submit your answers You will receive your personalised skin diagnosis and recommended skin care routine to your email.