Skin Intake

Answer the questions below. We’ll classify you into a **Case** and route you to the right **File / Report / Protocol** with a booking link. Your esthetician will confirm in-studio.

Section 1: Skin Type

How would you describe your skin most days?

Normal / balanced Dry / feels tight Oily / shiny throughout the day Combination (oily T-zone, dry cheeks) Sensitive / easily red or reactive

Do you experience visible pores or congestion?

Rarely Occasionally Frequently / enlarged pores

Section 2: Current Concerns

What are your top 2–3 skin concerns right now? (check up to 3)

Dryness / dehydration Excess oil / congestion Breakouts / acne Sensitivity / irritation Pigmentation / dark spots Uneven tone / dullness Fine lines / wrinkles Compromised barrier Stress-related skin issues

Tip: choose what bothers you most right now.

Do you currently have…

Active acne breakouts Dark spots from past breakouts Rosacea or eczema flare-ups None of the above

Section 3: Hydration Check

After washing your face, your skin feels:

Comfortable Tight / dry Greasy quickly Both tight and greasy

When you apply moisturizer…

My skin soaks it up instantly It sits on the surface / feels heavy My skin reacts with redness / stinging It balances nicely

Section 4: Lifestyle Factors

How much stress or sleep disruption do you experience?

Low — I sleep well Moderate — some late nights High — frequent stress, poor sleep

How often are you outdoors (sun exposure)?

Rarely A few times a week Daily, extended time outdoors

Do you currently smoke, drink frequently, or have a high-stress work environment?

Yes No

Section 5: Treatment Tolerance

How does your skin usually react to professional treatments?

Handles everything well Mild redness but recovers fast Often stings, burns, or gets inflamed

Are you using any of the following at home?

Retinol / prescription retinoids Exfoliating acids (AHA/BHA) Acne prescriptions (BP/antibiotics/isotretinoin) None of the above

Section 6: Goals

What’s your #1 priority?

Maintain healthy skin Hydrate / plump Clear breakouts Calm sensitivity Brighten pigmentation Smooth fine lines / aging Revive dull, stressed skin Repair barrier

Tier Service

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