What is your main skin concern?
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Redness
Inflamed/sensitive skin
Acne/Congestion
Fine lines/changes
Uneven Tone
My skin just looks tired
I want to look after my skin properly
How long have you been dealing with this concern?
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Less than 6 months
6–12 months
1–2 years
2+ years
Which of the following have you tried before?
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Generic facials
Over-the-counter skincare
Prescribed products
In-clinic treatments
None of the above
How committed are you to following a professional treatment plan?
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Very committed
Somewhat committed
Not sure
Prefer quick fixes
When are you looking to start improving your skin?
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As soon as possible
Within the next few weeks
In the next few months
Just researching for now
What statement best describes you?
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I'm looking for long-term skin improvement.
I have one specific concern I'd like help with
I mainly want product recommendations
I'm only looking for general advice
If we were to present you with a personalised treatment plan after your diagnosis, would this be something you're open to starting?
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Yes, if it's the right fit for me
No, I'm only looking for information
If we recommended a personalised treatment plan to achieve your goals, what investment would you be comfortable making over the next 3-6 months?
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$200-$500
$500-$1,000
$1,000-$2,500
$2,500+
Please describe your current skincare routine.
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What’s your biggest frustration with your skin right now?
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First Name
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Last Name
Phone
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Email
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