Name

First Name

Last Name

AGE

WHAT IS YOUR OCCUPATION?

DO YOU SMOKE

WHAT DO YOU THINK YOUR SKIN TYPE IS

DO YOU HAVE ANY SKIN CONDITIONS OR ALLERGIES?

ARE YOU ON ANY PRESCRIPTION MEDICATIONS?

WHAT CONCERNS DO YOU HAVE ABOUT YOUR SKIN?

WHAT SKINCARE PRODUCTS ARE YOU CURRENTLY USING? PLEASE LIST AM AND PM PRODUCTS

WHAT ARE YOUR BEAUTY ACHIEVEMENT GOALS?

DO YOU LIKE TO WORKOUT IF SO HOW MANY TIMES A WEEK?

ARE YOU ON ANY TOPICAL RETINOL?

ARE YOU PREGNANT?

LIST YOUR REGULAR GO TO MAKEUP PRODUCTS?

ANY OTHER ISSUES OR CONCERNS ON YOUR MIND?

Congratulations now I can customize your class. I am looking forward to meeting you on Zoom

Best

Fiona

QUESTIONNAIRE