1.How would you describe your skin? (select all that apply)

Dry

Oily

Sensitive

Red

Sun Damaged

Acne Prone

2.How does your skin react to the sun?

Burns Easily

Burns Sometimes

Burns Then Tans

Tans Easily

3.Do you use a retinol product?

Yes

No

Unsure

4.What are your skin concerns? (check all that apply)

Fine Lines

Wrinkles

Sagging

Sun Damage

Red Spots

Brown Spots

Hyperpigmentation

Acne Scars

Skin Texture

Skin Laxity (Face)

Skin Laxity (Body)

5.How many rounds of laser treatments are you willing to commit to?

1 & done

2 -3

4+

6.How old are you?

Under 18

18-24

25-34

35-44

45-54

55-64

65+

7.What provider do you usually see? (check all that apply)

Ang

Amber

Caity

Dr. Weston

Sandra

Julia

Any of the above

8.What email would you like your results sent to?