What is one skin concern which affects your confidence the most? *

Select ONLY ONE at this time!

Please specify!

What type of pigmentation feels most noticeable to you? *

Sun-related pigmentation or melasma

Pigmentation after acne

Patchy or uneven pigmentation

I’m not sure, I just know it’s there

When do you notice pigmentation the most? *

After sun exposure

During stressful periods

When my skin feels tired

It’s always noticeable

How does your skin usually react to the sun? *

I tan easily

I burn easily

I get darker spots after sun

I’m not sure

How does pigmentation affect how you feel about your skin? *

It affects my confidence a lot

I feel self-conscious sometimes

I notice it but manage

It doesn’t affect me much

Where are dark spots most noticeable? *

Cheeks

Forehead

Around Mouth

Scattered across face

What do you feel caused them? *

Past breakouts

Sun exposure

Hormonal changes

I’m not sure

How do dark spots affect your confidence right now? *

They affect my confidence a lot

I feel self-conscious in certain lighting or photos

I notice them but try not to think about it

I’ve learned to live with them, but I want improvement

How long do dark spots usually take to fade for you? *

They fade quickly

They take months

They barely fade

I’m not sure

What kind of breakouts do you experience most? *

Occasional breakouts

Hormonal or recurring breakouts

Frequent or persistent acne

I’m not sure

When do breakouts usually appear? *

During stress

Around hormonal changes

After certain habits or foods

No clear pattern

How does your skin usually react when you try new products? *

I break out easily

Sometimes react

Usually fine

I avoid new products

How do breakouts affect your confidence? *

A lot

I try to hide them

They bother me sometimes

I’ve become used to them

How does dryness or dullness show up for you? *

Tight or uncomfortable skin

Flaky or rough patches

Skin looks tired or lifeless

Makeup doesn’t sit well

When does your skin feel this way the most? *

After long days

During cold or dry weather

When I’m stressed or tired

Almost all the time

How does your skin feel right after cleansing? *

Tight or uncomfortable

Normal but dull

Comfortable

I’m not sure

How does this affect how you feel about your skin? *

It makes me uncomfortable

I feel my skin lacks life

It affects my confidence sometimes

I want improvement but feel okay

What about texture or pores bothers you most? *

Visible pores

Rough or uneven texture

Makeup settles into pores

Skin doesn’t feel smooth

How do texture or visible pores affect your confidence right now? *

I feel very self-conscious, especially up close

I think about it in photos or mirrors

I notice it, but it doesn’t always bother me

I’m mostly okay with it, but I want improvement

How does your skin feel to you when you touch it? *

Rough or uneven

Smooth in some areas, uneven in others

Mostly smooth but looks textured

I’m not sure, I don’t really check

How do you usually feel when you try to improve texture or pores? *

Hopeful but frustrated

Confused about what actually helps

I’ve tried many things with little change

I haven’t really tried yet

What feels uneven to you? *

Patchy tone

Different areas look darker

Face and neck don’t match

Skin just doesn’t look balanced

When does uneven tone bother you the most? *

Without makeup

In natural light

In photos or videos

All the time

Do you feel your skin tone changes with lifestyle or stress? *

Yes, definitely

Sometimes

Not really

I’m not sure

How do you usually try to manage uneven tone? *

Makeup or concealer

Skincare products

I’m not sure what helps

I don’t actively manage it

Full Name *

Phone *

Email *

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