Questionnaire 1

First Name

Last Name

Email

Describe your skin concerns

Is your skin prone to breakouts?

What type of breakouts do you experience?

In which area and how often do you have breakouts?

Do you have post-acne marks or acne scars?

Are your pores enlarged?

Does your skin get oily during the day? If yes, in which areas (T-zone, entire face, none)

Do you experience oily shine in winter or mid-season? Do you often experience dryness, flakiness, or rough patches?

Do you feel discomfort or tightness after cleansing?

Do you have sensitive skin? If yes – please describe how this was identified.

Do you have couperose (broken capillaries/spider veins on the face)? If yes, please describe the severity.

Do you have pigmentation? If yes, please describe how strong it is. Location and when did it appear?

Describe the condition of the skin around your eyes. Do you have wrinkles in this area? Is your skin prone to dryness? Do you experience dark circles or puffiness under the eyes?

Do you have allergies? If yes – please indicate to which ingredients.

Do you wear makeup? If yes – what kind and how often? How do you remove it?

Are you planning a pregnancy? Are you currently pregnant? Are you breastfeeding?

Are there any climatic or weather specifics in your region?

What is your lifestyle like? How many hours a day do you spend outdoors?

Are you planning a climate change in the next 3–4 months? (for example, a trip to the sun/sea or to a region with a very different climate)

Do you know your skin type? If yes, please specify which.

How did you choose skincare products before?

What criteria did you use to select your skincare before?

Describe your last skincare routine

What are you dissatisfied with in your current routine?

What skin concerns do you want to solve with skincare?

What are your preferences, questions, and wishes regarding skincare?

How did you hear about us?

Is there anything about the skin on your body you'd like help with?

Do you prefer products that absorb quickly or those that leave a nourishing layer?

Do you like multifunctional products (e.g., moisturizer + SPF) or prefer separate steps?

SKIN ANALYSIS AND PERSONALIZED SCINCARE