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Unlock Your Best Skin: AI-Powered Personal Consulting Experience
Still Need assistant, Call Us Now
+971568792445
Skin Care Questionnaire
Skin Care Questionnaire
Name:
Age:
Gender:
Female
Male
Email:
What is your skin type?
Oily
Dry
Combination
Normal
Sensitive
What are your main skin concerns? (Select all that apply)
Acne
Wrinkles
Dryness
Hyperpigmentation
Blackheads/Whiteheads
Large Pores
Redness/Rosacea
Fine Lines/Wrinkles
Dullness
Sensitivity
What products are you currently using and how often?
Product Category:
Cleanser
Toner
Serum
Moisturizer
Sunscreen
Exfoliator
Mask
Other (please specify below)
Frequency:
Never
Once a week
2-3 times a week
Daily
Morning and night
Describe your diet:
Omnivore
Pescatarian
Vegetarian
Vegan
Gluten-Free
Dairy-Free
Paleo
Keto
Mediterranean
Flexitarian
How many hours do you sleep on average?
Less than 5 hours
5-7 hours
More than 7 hours
Stress levels:
Low
Moderate
High
Sun exposure (hours per day):
Less than 1 hour
1-2 hours
More than 2 hours
Any allergies, medications, or existing skin conditions?
Desired outcome:
Improved overall skin health
Enhanced skin barrier function
Reduced breakouts
Minimized signs of aging
Balanced sebum production
Improved hydration
Soothed and calmed skin
Even skin tone
Budget for skincare products and treatments:
Less than $50
$50-$100
$100-$200
More than $200
Preferred product brands:
Natural
Organic
Natural & Organic
Cruelty-Free
Vegan
Luxury
Drugstore
Dermatologist-Recommended
Open to All Brands
Any negative reactions or sensitivities with previous skincare products?
Submit
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