Client Skin Analysis - Terri Lawton (Page 3 of 4) in pdf

Client Skin Analysis - Terri Lawton Page 3

8. If you have breakouts, which of the following do you experience?

___ Cysts (hard swollen lumps that don’t extract)

___ Whiteheads

___ Blackheads

___ Red rash-like inflammation

9. Is your skin red and sensitive? Yes ____ No ____

If yes, does the redness onset with foods or products? Yes ____ No ____

Comments: _____________________________________________________

_____________________________________________________________________

10. Have you ever been diagnosed with a specific skin condition? Yes ____ No ____

If yes, please identify: Acne ____ Rosacea ____ Cysts ____ Pigmentation ____

Other ______________________________________________________________

11. Do you wash your face daily and use products? Yes ____ No ____

If yes, how many times per day do you wash your face? Once ____ Twice ____

Other _____________________________________________________________

What products are you currently using on your skin?

__________________________________________________________________

12. Do you feel your skin is aging? Yes ____ No ____

If yes, please describe:

__________________________________________________________________

Client Skin Analysis - Terri Lawton Page 3