1.Is your skin

Dry

Oily

Combination

2.Is your skin

Normal

Sensitive

3.Any age spots/pigmentation issues?

Yes

No

4.Fine lines and/or wrinkles?

Yes

No

5.Acne or large pores?

Yes

No

6.Dark circles or puffiness under eyes?

Yes

No

*7.Anything else you want to fix about your skin?(Required.)

*8.What is your IG?(Required.)

9.Do you use makeup wipes?

Yes

No

I don’t wear makeup

*10.Please leave your best contact information(Required.)