Skin Consultation is FREE DURING LOCKDOWN.(only)

    Name:*

    E-mail:*

    Phone:*

    Date and time of consultation:
    Skin Consultation is available from Monday to Saturday only (last appointment time on Saturday is 4pm).
    Date:*

    Time:*

    Consultation over the Phone or Zoom:*

    Attach your photos (no make up):
    Front:*
    Right side of face:*
    Left side of face:*

    What is your skin type?*

    Are you currently taking any medication? If so what?*

    Have you any allergies?*

    Are you currently using any active ingredients on your skin at the moment(eg. Retinols, vitamin A, AHA’s or any topical antibiotic)If so what kind?*

    What is your current skincare routine/products you use?*

    Have you any active problems with the skin at the moment(eg. Breakouts, psoriasis, cold sores, broken capillaries) If so what?*

    What results are you looking for, for your skin?*