TEST FORM 2

Thank you for completing your acne consultation form! Your personal acne specialist is reviewing your file and will email you with expert recommendations within 2 to 3 business days.

We’re excited to support you on your journey to clear, healthy skin!

Art of Skin Care - Acne Consult

Client Information

Welcome to our Acne Coaching Program! Please fill this form with as much detail as possible. It is very important for us to receive answers to every question in order to help you achieve the best results.

First Name *

Last Name *

Email *

Ethnicity *

Age *

Gender Identification *

Were you assigned a different gender? *

Art of Skin Care - Acne Consult

Grooming

Describe any facial hair removal methods *

Do you use shaving cream? If so, which one?

If shaving, what type of razor?

Do you have shaving irritation?

Art of Skin Care - Acne Consult

Current Skin Care Regimen

Reaction to products (ours, others)? *

If yes, list products and reactions *

For the next section, it is very important that you type out your routine. Please do not copy and paste a past answer or routine, make sure you list your current steps exactly.

List AM Regimen with specific products *

List PM Regimen with specific products *

Describe makeup use (include types) *

Sunscreen use, which product, how often? *

Additional products you may be using *

List your haircare products and brands: *

Any products you would like to replace? (If you are running low on any products you would like to replace, list them here)

Any treatments you've had in 90 days *

Chemical Peels Dermabrasion Electrolysis Facial Waxing Laser Hair Removal Laser Rejuvenation/Resurfacing Microdermabrasion Skin Cancer Removal Not Applicable

When and where did you get the treatment *

Art of Skin Care - Acne Consult

Upload Photos

Please upload at least three photos (preferably one on each side, and one straight on). The photos must be close enough for us to see the details of your skin. We recommend taking a photo outside or in your car during the morning hours for the best lighting! This is a required field.

Attachments *

Acne Consult

Art of Skin Care - Acne Consult

Art of Skin Care - Acne Consult

Art of Skin Care - Acne Consult

Art of Skin Care - Acne Consult

For the next section, it is very important that you type out your routine. Please do not copy and paste a past answer or routine, make sure you list your current steps exactly.

Art of Skin Care - Acne Consult

Art of Skin Care - Acne Consult

For the following questions, select all that apply.

Art of Skin Care - Acne Consult

Availability

Acne Consult

Art of Skin Care - Acne Consult

Art of Skin Care - Acne Consult

Art of Skin Care - Acne Consult

Art of Skin Care - Acne Consult

For the next section, it is very important that you type out your routine. Please do not copy and paste a past answer or routine, make sure you list your current steps exactly.

Art of Skin Care - Acne Consult

Art of Skin Care - Acne Consult

For the following questions, select all that apply.

Art of Skin Care - Acne Consult

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