HEAL YOUR SKIN
474 Santa Clara Avenue
Oakland, CA, 94610
HOLISTIC SKINCARE & NUTRITION
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HEAL YOUR SKIN
Is your skin oily?
In a scale of 1 to 5 (5 being the oiliest) how oily is your skin?
Is your skin dry?
On a scale of 1 to 5 (5 being severe) how dry is your skin?
Does your skin flake?
I am interested in a spa facial for relaxation.
Where on your skin does it flake? Nose? Between eyes? Cheeks?
Are your capillaries visible on your cheeks and nose?
How visible on a scale of 1 to 5?
Does your skin feel tight after cleansing?
Does your skin feel itchy after cleansing?
Do you have redness on your skin? If so, where?
Do you experience breakouts? If so, where are the breakouts concentrated?
On a scale of 1 to 5 (5 being the worst) how much acne breakouts do your experience?
Do you experience cystic (large, painful bumps) breakouts?
Do you have milia? (hardened whiteheads)
Do you experience pustular breakouts? (inflamed whiteheads that ooze puss)
Do you have blackheads? If so, where?
Do you have eczema?
Does your skin flush (turn red) easily?
Does your skin welt easily?
Does your skin feel like it has a lot of dry buildup?
Is your eye area puffy?
Do you have dark circles around the eye area?
Pigmentation: Do you have dark spots on your skin from previous acne?
Do you have dark pigmented spots from aging and sun?
I am interested in a result driven facial that will tackle skin issues.
Are you taking retin a or prescribed Retin A product from your doctor?
Are you taking accutane?
Are you taking any prescribed drug or topical to treat problematic skin?
What is your ethnicity?
Have you had any reactions to any skin care products?
Is there anything else you’d like to tell us about your skin?
I am interested in incorporating nutritional education to gain a better understanding of why I have problematic skin and to slow down the aging process.
I am interested in a nutritional detox program to maximize my end result.
I am interested in switching up my skin care products.