acne form quiz

Your First Name

Your Last Name

Tell us a bit about yourself so we can create a personalized product (and custom bottle) just for you!

Age

WhatsApp Number

Gender

why is it important?

we need your email, whatsApp, age, and gender to offer personalized services, quick updates, and relevant product recommendations.

Select Your Skin Type

Normal Skin

Dry Skin

Oily Skin

Sensitive Skin

Combination Skin

why is it important?

knowing your skin type helps us recommend the right products for the best results.

Select your face concern

Acne

why is it important?

understanding your specific skin problems allows us to create a customized regimen plan just for you.

How long have you been experiencing acne?

Less than 3 months

3-6 months

6-12 months

More than 1 year

why is it important?

it helps us understand the severity and duration of your acne, allowing us to provide customized solutions based on your skin's needs.

What type of acne do you primarily experience?

Whiteheads

Blackheads

Papules (small red bumps)

Pustules (pimples with pus)

Nodules (large, painful lumps under the skin)

Cysts (deep, painful, pus-filled lumps)

why is it important?

we ask about the type of acne you primarily experience to tailor our recommendations and treatments to your specific needs.

Have you previously used any treatments for acne?

yes

why is it important?

we ask this to know if you've used any acne treatments before, so we can suggest the best solution based on your previous experience.

How many pus-filled pimples do you have?

0-2

3-5

More than 5

why is it important?

understanding their quantity helps us determine the appropriate treatment plan to reduce acne and promote healing.

Have you seen a dermatologist for your acne?

Yes

Why is it important?

we ask that you have seen a dermatologist to understand your treatment history and to provide better recommendations based on professional guidance you may have received.

What treatments have you tried for your acne ?

Chemical Peel

Doctor Recommended Products

Laser treatments

Home remedies

Other Market Products

Please specify the name of the product.

Why is it important?

we want to know what treatments you've tried for your acne to understand what has or hasn't worked, so we can suggest better options for you.

How often do you experience stress?

Rarely

A few instances

Multiple times a week

Everyday

Why is it important?

we ask this to understand the impact of stress on your skin, as it can contribute to acne and other skin issues, helping us recommend a more tailored solution.

Do you have acne scars?

0-2

3-5

More than 5

Why is it important?

We ask if you have acne scars to assess skin damage from past breakouts, helping us recommend suitable treatments for both acne and scars.

Are you pregnant or breastfeeding?

Yes, pregnant

Yes, breastfeeding

why is it important?

As you have indicated that you're pregnant, we recommend consulting with your healthcare provider before using any skincare products. Your well-being is our priority, and it's important to ensure that any product is safe for you and your baby.

Do you experience any skin changes during to your menstrual cycle?

Yes

why is it important?

Understanding skin changes during your menstrual cycle and details about pregnancy or hormonal treatments helps us recommend safe and effective skincare.

Have you tried any hormonal treatments (like birth control pils) ?

Yes

why is it important?

Asking about hormonal treatments, like birth control pills, helps us understand hormonal effects on your skin and tailor our recommendations for acne or pigmentation concerns.

Do you have acne issues related to shaving or beard care?

Yes

why is it important?

Asking about acne issues related to shaving or beard care helps us identify mechanical irritation and product ingredients that may trigger breakouts, allowing us to recommend better grooming practices.

Upload your face image *

Choose file or drag it here
supported format: jpg, jpeg, pg, gif, svg.

Right side image of your face issues

Choose File

Left side image of your face issues

Choose File

Anything else you want us to know about acne.

why is it important?

Despite noting your skin concerns in detail, we need to see the texture of your skin, the darkness of your spots, and the severity of your acne or other issues. This helps us provide the best recommendations for your skincare needs.