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What is your name / email

Has your skin lost its firmness?

Do you have open pores on your nose or cheek area?

Do you have dry skin?

Do you have a poor complexion?

Even if you apply lotion, does your skin immediately become dry?

Is your skin’s surface hard and rough?

Do you have fine wrinkles around your eye area?

Do cosmetic products irritate your skin?

Do you have skin allergies?

Does your face have a reddish complexion?

Does your skin feel slightly itchy?

Do you have inflammatory pimples?

Do you have oily skin?

Do you tend to get pimples?

Do you have open pores and blackheads on your T-zone?

Do you have acne scars?

Do you feel your skin is not clear?

Do you have spots and freckles?

Do you have dark circles under or around your eye area?

Does your skin easily burn?

Does your suntan become more persistent as time goes on?

Is your skin dull and have irregular pigmentation?

Does your skin feel rough and pimply before or after your menstrual cycle?

Do you spend most of your time in air-conditioned places?

Do you sleep irregular hours?

Do you often feel stressed?

Are you a smoker?

Does your diet consist mainly of meats and fats?

Is your age between 30 and 40?

Is your age over 40?