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Skin Questionnaire
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Name
*
Your answer
Age
Your answer
Do you have dry, oily, combination or sensitive skin?
Your answer
Do you have sun damage?
Your answer
Do you have age spots?
Your answer
Do you have fine lines and wrinkles?
Your answer
Do you have acne or big pores?
Your answer
Do you have discoloration in skin tone?
Your answer
Do you have dark circle or puffiness under eyes?
Your answer
Do you have loose or baggy skin?
Your answer
What don't you like about your skin?
Your answer
What are your skin goals?
Your answer
What products are you using right now?
Your answer
Any allergies?
Your answer
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