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Skincare Questionnaire

Fill out our questionnaire, and receive FREE custom skincare recs.

First + Last Name*

Email*

What is your current skincare routine? Please include product name and brand.*

How would you describe your skin?*

Skin concerns, check all that apply.*

Acne / Breakouts

Texture / Congestion

Blackheads

Acne Scarring

Redness / Rosacea

Fine Lines / Wrinkles

Dullness

Inflamed Breakouts

Dryness / Dehydration

Other

If your main concern is acne, how often are you experiencing breakouts?

Please share a picture of your face/skin in natural lighting, left + right profile image and straight.

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Contact info

(330) 331-9413

5019 Victor Drive, Medina, OH 44256

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