Loyalty Survey May 2018: Acne Question Title * 1. What is your Name and Surname? Question Title * 2. Which Renewal Institute branch do you visit most often? Bedfordview Brooklyn Cape Quarter Claremont Constantia Durban Fourways Hillcrest Illovo Irene Morningside Parkhurst Stellenbosch Umhlanga West Rand Willowbridge Question Title * 3. If you would like us to update your e-mail address on our client database, please fill in your current e-mail address below? Question Title * 4. Please select your gender? Male Female Question Title * 5. Please select your age group: 18-25 26-35 36-45 46-55 56-65 Above 66 Question Title * 6. Do you struggle with acne on your face? Yes No Sometimes Question Title * 7. On which area of your face is the appearance of acne a concern? Forehead Between brows Cheeks Nose Chin & Jaw Other I don't have acne Question Title * 8. Do you struggle with acne on your body? Yes No Sometimes Question Title * 9. On which area of your body is the appearance of acne a concern? Neck Chest Back Other I don't have acne Question Title * 10. Acne is not only a problem for teenagers, and can also affect adults! At which age did you struggle with acne? From age 13 (during puberty/teenage years) Between ages 20 - 30 Between ages 31 - 40 Over 40 years of age Only during pregnancy I don't have acne Question Title * 11. There are different types and severity of acne lesions. What lesions do you struggle with? Open Comedones (blackheads): These lesions are very common and consist of dilated pores and/or hair follicles, that are filled with a combination of sebum, dead skin cells, and bacteria. This mixture gets trapped within the follicle creating a central, dark and solid plug. The follicles are not completely blocked, and it appears black because of oxidation of the trapped mixture, not dirt. Closed comedones (whiteheads):These form when the dead skin cells and sebum completely block the opening of a hair follicle, usually following after a blackhead has formed. Pustules: This whitehead type of lesions is pus-filled and inflamed. Once these lesions rupture into the skin, they form pustular heads. Papules: This type of whitehead (5 mm or less) is a type of lesions that has become swollen, red and inflamed. Nodules: This type of lesions is a solid, dome- or irregularly shaped, inflamed lesions that extend deep into the skin. If left untreated these lesions can cause tissue damage and scarring because it affects deeper skin layers too. This type of nodular acne is the most severe form of the condition and can be very painful, even without touch. Cysts: These sac-like lesions contain a liquid, or semi-liquid, substance that is made up of white blood cells, bacteria and dead skin cells. Left untreated they can result in scarring, and may be very painful and severely inflamed. When an individual has the formation of cysts and nodules together it is called nodulocystic acne, which is also very severe and requires medical treatment. Scarring:Post active acne lesions can leave the skin damages with varying degrees of scarring and unever skin texture and skin tone. Post Inflammatory Hyperpigmenation (PIH): Pigmentation marks can form after initial inflamed lesions are exposed to light and further trauma. I have a combination of the above lesions. I don't have any of the above acne lesions. Question Title * 12. Have you ever had treatments for your acne or subsequent scarring? Yes No Question Title * 13. What treatments have you tried to improve the appearance of acne? Carboxytherapy Chemical Peels Laser Treatment Transdermal Mesotherapy Subcision for ance scarring Topical creams and lotions Internal supplements I have not had any treatments for acne Other (please specify) Question Title * 14. The biggest dietary contributing factors to acne formation is dairy, sugar, and grains. Do you follow a restricted diet to assist your body to fight acne formation? Yes No Sometimes Question Title * 15. Stomach and gut health is vital in correcting and reversing acne concerns. Ensure you test your stomach acid levels, and that they are sufficient. Let a Doctor advice on the correct anti-bacterial and anti-inflammatory supplements to assist your body. Are you taking any supplements to fight acne? Yes No Sometimes Please specify: Question Title * 16. Would you like a Renewal Institute staff member to contact you to discuss the survey? Yes No Done
