Get Skincare Questionnaire

Completing the Skincare Questionnaire is an essential step in enhancing your skincare routine. This guide provides you with clear instructions to help you fill out the form accurately, allowing your aesthetician to understand your unique skincare needs.

Follow the steps to successfully complete the Skincare Questionnaire.

1. Click ‘Get Form’ button to access the Skincare Questionnaire and open it in the editor.
2. Begin by filling in your personal details, including your name, date of birth, and contact information. Ensure that your email address is accurate if you wish to receive appointment reminders.
3. Indicate your preferred method of contact: home phone, cell phone, or email, by checking the appropriate box.
4. Provide information on how you heard about the service, and include an emergency contact name, relationship, and phone number.
5. In the section regarding skin concerns, check all conditions you would like to improve. Be sure to include any other concerns you may have in the provided space.
6. Respond to whether you are undergoing any skin treatments currently, and if so, specify the type of treatment.
7. Complete your health history by providing details about your occupation, genetic background, and any visits to a dermatologist in the past year.
8. List any medications or supplements you are currently taking, along with your general health status by selecting one of the options provided.
9. If applicable, indicate if you are currently nursing, pregnant, or planning to become pregnant.
10. Rate your stress level on a scale from 1 to 5, and answer questions regarding any past illnesses and allergies.
11. In the home care section, check the skincare products you are currently using and indicate if you have used specific active ingredients before.
12. Answer questions related to sun protection, including whether you use sunscreen, how often, and if you engage in sunbathing or tanning booth visits.
13. Read and understand the photo release agreement, signing it if you consent to photographs being taken for treatment tracking. Ensure all fields related to the Fitzpatrick Skin Test are completed accurately.
14. Review all the information you have provided for accuracy before finalizing your form submission.
15. Once completed, you can choose to save changes, download, print, or share the form.

Complete the Skincare Questionnaire online to enhance your skincare journey today!