Client Skin Analysis - Terri Lawton printable pdf download

Client Skin Analysis - Terri Lawton

CLIENT SKIN ANALYSIS

Just like the ever-changing cycles of the seasons, your skin’s condition can shift and change

over time. To assist me in my Client Skin Analysis, please fill out the following questionnaire

as accurately as you can, providing additional information wherever indicated.

Your participation in this Personal Skin Analysis Questionnaire will further help me to fine-

tune both your skincare treatments and recommended product usage even more specifically to

your current needs. Upon completion of the questionnaire, you can either print it out and bring

it in for your next studio appointment or email it in via my website (just hit the “Send” tab at

the end of the form below).

I look forward to working with you and providing you with the most optimum approach to

beauty, skincare and age management.

TERRI LAWTON – Skincare & Age Management

PERSONAL SKIN ANALYSIS QUESTIONNAIRE

1. Name: _________________________________

2. Age:________

Male______ Female______

3. How would you classify your skin type?

Normal____

Dry____

Other_______________

Normal-to-Dry____

Oily____

Normal-to-Oily____

Combination____

4. Have you recently seen a change in your skin? Yes____ No____

If yes, please explain: _____________________________________

________________________________________________________

5. (*Female Clients) Are your monthly periods regular? Yes____ No____

Do you have breast sensitivity? Yes____ No____

Client Skin Analysis - Terri Lawton