Questionnaire

Does your job require that you work outdoors?

Have you had a facial before?

Which of the following best describes your skin type?

Have you used Retin-A, Retinol , Renova, Accutane, Differin or other Vitamin A derivative products in the last 6 months?

Have you ever had chemical peels, laser or microdermabrasion?

Have you experienced Botox, Restylane or Collagen injections?

Have you recently seen a dermatologist?

Are you taking or using anything prescribed by a dermatologist?

Do you smoke?

Do you wear contact lenses?

Do you sunbathe or use tanning beds?

What temperature water do you use to cleanse with?

Do you use SPF on your face?

Do you exfoliate at home?

Do you use products with glycolic, lactic, hydroxy acids or hydroquinone?

Are you allergic to any ingredients, skin care or makeup products?

Have you ever had an allergic reaction to:

Are you currently seeing a physician for a specific medical reason?

Do you have metal implants or a pacemaker?

Are you taking oral contraceptives?

Are you pregnant or trying to become pregnant?

Are you breastfeeding?

Any menopause problems?

Are you undergoing any hormone replacement therapy?

Miami Natural Skincare