You can finally discover the best products and advice for your individual needs.
Great Skin successfully treats adult Acne, Eczema, Rosacea, whiteheads, blackheads, pimples, zits, scarring, sebaceous glands, cysts, Rash and Acne vulgaris with their premium professional and physician-grade skin care products formulated for each of these specific needs.
Your personal skin care analysis is done by estheticians, under the guidance of Doctor Mark E Van Wormer, MD, ABAAM.
The results will help you understand exactly what you need to overcome your skin-related problems.
You will receive an evaluation and product recommendations specifically designed for you.
This is NOT an auto-responder, but customized skin care and skin care products prescribed for you by Doctor Van Wormer and his expert skin care therapist wife, Lori.
Each analysis requires at least 10 minutes of study time prior to recommending the skin care products prescription.
We understand how difficult it is to choose the right products, This skin care analysis will help you make informed decisions about how to handle your home skin care.
Please make sure that you give an answer to every question on the form, all answers are required so that Great Skin can perform a complete evaluation of your skin.
The following questions are mostly answered by a yes or no,some are multiple choice.
It is this thorough look at your skin, your habits, and your lifestyle that enable the experts who will be analyzing your results the information needed to return to you.
When purchasing products at a store or even at a spa or salon, you may be asked just a few of the following. How can we possibly choose the right products!
Great Skin Free Personal Skin Care Analysis Questionnaire Sample
Have you had laser resurfacing or facial Plastic Surgery in the past 3 months?
Are you planning to have facial resurfacing soon?
Are you planning to have eyelid surgery soon?
Are you planning to have other facial Plastic Surgery soon?
Do you smoke?
Do you have allergies to any of the following?
- Alpha Hydroxyacids
- Beta Hydroxyacids
- Hydrogen Peroxide
- No allergies to any of the above
Do you currently take any antioxidant supplements? Do you use Retin-A? If yes: What do you use it for?
- Fine Lines
Do you have irritation, sensitivity, flaking from Retin A use?
Are you now using the Acne drug Accutane?
If no , have you used Accutane in the past?
If you used it in the past, how long ago?
Are you currently on a restricted diet?
Do you exercise regularly?
What water temperature do you cleanse with?
Cool, Warm, or Hot
Do you have any special skin problems?
I have adolescent Acne eruptions
I have adult onset Acne
I have deep cystic Acne
I have oily skin, but no eruptions
I have dry skin with Acne outbreaks
I have lines and wrinkles from sun damage (photo aging)
I have combination skin, dry in some places, oily in the T zone
I have hyperpigmentation (brown spots from sun or Acne)
I have Acne scarring
I have smooth, normal skin
I have enlarged pores
I have no special skin problems
Are you susceptible to cold sores?
Your Current Skin Products
What types of cleansers are you now using?
Are you currently using bar soap to cleanse your face?
Do you use any skin care products which contain mineral oil, lanolin, alcohol, color, fragrance, or formaldehyde?