Exploration Questions Understanding The Environment For Your Body Name(required) Email(required) Phone Number(required) 1. What are your skin concerns? Name all that apply . (i.e. acne, wrinkles, uneven skin tone, redness, spots, pigmentation etc.)(required) 2. List ALL products you are currently using on your skin: (i.e. cleansers, moisturizers, serums, makeup, body soaps, laundry detergent, etc.)(required) 3. Do you use sunscreen or have products with SPF? Name the products that have SPF and how often you use them.(required) 4. What are your favorite foods?(required) 5. What does your diet look like on a typical day? Breakfast? Lunch? Dinner?(required) 6. What percentage of your diet is Grains? Fruit / Vegetables? Meat? Dairy? Sugars?(required) 7. Do you eat fast foods, how often? (i.e. Drive-thru restaurants? Pre-packaged Meals? Daily, Weekly, Monthly)(required) 8. Do you exercise? Type of exercise and how often?(required) 9. What is your stress level?(required) 10. On Average how much sleep do you get each night?(required) 11. What do you do for self care / downtime?(required) Other Details You Wish To Share Send Δ
Skin Organics LLC 