What are your specific concerns with your skin?

How would you describe your skin type?

What type of products are you interested in?

Have you ever reacted to any skincare products e.g. lactic, salicylic or glycolic acids?

Have you ever been diagnosed with any skin conditions e.g. psoriasis, eczema, rosacea or acne?

Have you been prescribed any treatment for your skin?

Do you suffer from Cold Sores?

Do you suffer from any medical problems?

Are you pregnant, planning to be or breastfeeding?

Are you currently taking any prescribed medicines?

Are you using contraception?

If yes, please indicate:

Hav you taken Roaccutane in the last 6 months?

If yes, please advise the exact date your course finished.