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Hi there!

Welcome to Le Nubien Skin Consultation. We're thrilled you're taking the first step towards achieving your best skin yet. To help us understand your unique skin needs and tailor our advice just for you, please take a moment to fill out our skin consultation questionnaire. 

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1

Name?

2

What is your age range

Select one answer
3

Gender?

Select one answer
4

What are your primary skin concerns

Select one or more answers
5

How long have you been experiencing these concerns

Select one answer
6

Have you consulted a dermatologist or other skincare professionals before?

Select one answer
7

How would you describe your skin type?

Select one answer
8

Do you have any known skincare condition

(e.g., eczema, rosacea, psoriasis)
9

Is your skin sensitive to any products or ingredients

(If yes, please specify)
10

What is your current skincare routine?

(Please list the products you use in the morning and evening)
11

How often do you exfoliate your skin?

Select one answer
12

Do you use sunscreen daily?

Select one answer
13

How would you describe your diet?

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14

Do you drink lots of water during the day?

Select one answer
15

How much sleep do you get on an average night?

Select one answer
16

Do you smoke or consume alcohol?

Select one answer
17

Do you exercise regularly?

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18

Do you have any allergies?

(Not limited to skincare products)
19

Are you currently taking any medications?

Select one answer
20

Do you have any medical conditions we should be aware of?

Select one answer
21

Do you experience a lot of stress

Select one answer
22

How often do you spend time outdoors?

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23

Do you wear makeup regularly?

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24

What are your skincare goals?

Select one or more answers
25

Do you have any specific requirements or preferences for skincare products?

Select one answer
26

How much time and effort are you willing to dedicate to your skincare routine?

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27

Are there any budget constraints for skincare products

Select one answer
28

Is there anything else you think we should know about your skin or lifestyle?

29

Do you consent to having your photos taken for treatment progress tracking?

Select one answer
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