Skincare Questionnaire

I am so excited help you with your skin health. Please fill this questionnaire out to the best of your ability and Lauryn will get back with you shortly.

Which of these are your main concern?
- Acne
- Rosacea
- Eczema
- Dark Spots or Hyperpigmentation
- Fine Lines + Wrinkles
What products are you currently using?
Do you feel like you need an entirely new routine or just making some additions/adjustments?
What would you say is your daily struggle in regard to your skin?
How would you describe your pores? please describe their size/noticeability
Do you experience redness, if so when?
How would you describe your skin’s shine?
How does your skin feel when you touch your face (if different in T-zone and cheeks please specify)?
Once you’ve reached the afternoon, what do you notice has changed about your skin since morning?
How does your skin feel after you wash your face?
Do you experience breakouts, if so how often and where?
How would you describe your diet and daily activity level?
Do you have any questions?
Please enter your first and last name*
Please enter your email address (so I can contact you with any further questions and your suggested routine)*
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Skincare Questionnaire

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