Skin Test - Glam Aesthetics

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Skin Test

Tell us about your skin!

The test is split into 16 questions.

How would you describe your skin?*
Pick one that describes how your skin feels most of the time…
- It’s Oily
- It’s Sometimes Dry
- It’s Combination
- It’s Normal
- It’s Really Dry

What are the main areas of concerns with your skin?*
Choose up to THREE things that you’d like to improve with your skin…
- Breakouts
- Pigmentation
- Fine Lines/Wrinkles
- Dull Skin
- Blocked Pores (Blackheads/Whiteheads)
- Oily Skin
- Dryness
- Sensitivity
- Redness
- Rosacea
- Enlarged Pores
- Scarring
- Acne
- Skin Texture
- Dehydrated Skin

Is Your Skin Sensitive At All?*
- Yes
- No

Which Option Best Represents Your Skin?*
These options are based on the Fitzpatrick Scale. An Internationally recognised classification scheme for skin colour.
- Pale
- Fair
- Darker shade of Pale
- Light Brown
- Brown
- Dark Brown or Black

Do You Have Any Redness?*
If so, please select where you have it the most. If not please select no.
- No
- Yes - Mainly On My Cheeks
- Yes - Mainly On My Chin
- Yes - Mainly On my Nose
- Yes - Mainly On My Jawline
- Yes- Mainly On My Forehead

Tell Us About What You’re Using On Your Skin At The Moment…
Which Of These Items Are You Using On Your Skin At The Moment?*
Select everything you’re using in your skin regime at the moment, if you don’t use any products click none.
- None
- Cleanser
- Face Wash
- Micellar Water
- Makeup/Baby Wipes
- Soap
- Toner
- Exfoliating Scrub
- Skin Serum
- Skin Oil
- Day Moisturiser
- Night Moisturiser
- SPF
- Makeup

How long have you been using the above selected products?*
Roughly, how long have you been using your skin care products?
- 2 Years +
- Around 1 Year
- 6 Months
- 3 Months
- 1-2 Months
- A Few Weeks

More about your health
Are You Currently Using Any Oral Medication From Your GP For Your Skin?*
For Example: Tretinoin, Duac (Benzyl Peroxide) etc.
- Yes
- No
If yes, please tell us below.

Are You Currently Using Any Tropical Medication From Your GP For Your Skin?*
For Example: Tretinoin, Duac (Benzyl Peroxide) etc.
- Yes
- No
If yes, please tell us below.

Do You Have Any Medical Conditions Or Health Issues?*
We ask this because some active ingredients we recommend can cause a contraindication with some medical conditions and health issues.
- Yes
- No
If yes, please tell us below.

Do You Take Any Regular Medicine?*
We ask this because some active ingredients we recommend can cause a contraindication with some medical conditions and health issues.
- Yes
- No
If yes, please tell us below.

Do You Have Any Allergies Or Intolerances?*
- Yes
- No
If yes, please tell us below.*

Have You Ever Had A Negative Reaction To A Skin Product Or Treatment?*
- Yes
- No
If yes, please tell us below.*

Are You Pregnant Or Breastfeeding?*
- I'm not either
- I'm pregnant
- I'm breastfeeding

Tell Us About Yourself
Name*
First Last
Date of Birth*
Date Format: DD slash MM slash YYYY
Consent*
- Please tick here to confirm that you agree to us holding (and looking after) the health data you share with us.
Your Email Address*
Enter Email Confirm Email

Almost Finished...
Is there Anything Else You’d Like Us To Know About You Or Your Skin?
This is optional.
For Optimal Results And To Help Us To Understand Your Skin Better, We Would Recommend That You Upload An Image Of Your Skin…
For Optimal Results And To Help Us To Understand Your Skin Better, We Would Recommend That You Upload An Image Of Your Skin…. This is optional.
Drop files here or

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