Products

Name *

First Name

Last Name

What are your primary skin concerns? *

Check all that apply.

Dryness or flakiness

Oiliness and shine

Acne or breakouts

Fine lines and wrinkles

Dark spots or hyperpigmentation

Sensitivity or redness

Uneven skin texture

How does your skin typically feel by midday? *

Tight, flaky, or rough (dry)

Balanced, neither too oily nor too dry (normal)

Shiny, especially in the t-zone (oily)

Do you notice visible pores on your face? *

My pores are barely noticeable (dry)

I have some pores, but they're not large (normal)

My pores are quite noticeable, especially on my nose and forehead (oily)

How does your skin react to changes in weather? *

It gets even drier and may flake in colder months (dry)

It stays fairly consistent throughout the year (normal)

It gets even oilier in the summer and sometimes breaks out (oily)

What is your ideal skincare routine? *

Simple- just the basics, Mayne 2-3 steps (cleanse, moisturize, SPF)

A balanced routine with a few extras, around 4-5 steps (adding serums/treatments)

I love a multi-step routine with specialized products (6+ steps, including toners, masks, and exfoliants)

Have you had any negative experiences with skincare products? *

Check all that apply.

Breakouts or irritation from new products

Sensitivity to fragrances or active ingredients

Dryness or peeling after using exfoliating products

Oiliness or clogged pores from heavy creams

Other