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Our Expertise
Skin Problem
Contact us
English
- English
- हिन्दी

pigmentation form quiz

New Pigmentation Questions

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!

Email ID

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

Pigmentation

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 pigmentation?

Less than 3 months

3-6 months

6-12 months

More than 1 year

why is it important?

Knowing how long you've had pigmentation helps us recommend the best treatment and create a targeted skincare routine.

How severe is your pigmetnation?

Mild (light spots, barely noticeable)

Moderate (visible spots but not severe)

Severe (dark and very noticeable spots)

why is it important?

assessing the severity of your pigmentation helps us evaluate its depth and cause, which can be influenced by factors such as sun exposure, hormonal changes, or inflammation.

Have you previously used any treatments for pigmentation?

Yes

No

why is it important?

Knowing if you’ve previously used treatments for pigmentation helps us understand what has or hasn't worked. This information is vital for tailoring effective recommendations and avoiding irritation from certain ingredients.

How much direct sun exposure do you get daily?

Minimal (less than 1 hour/day)

Moderate (1-2 hours/day)

High (more than 2 hours/day)

why is it important?

Knowing how much direct sun exposure you get daily helps us assess your risk for pigmentation and skin damage.

Do you use sunscreen regularly?

Yes, Daily

No

Rarely

why is it important?

Asking if you use sunscreen regularly helps us understand your sun protection habits, which are essential for preventing pigmentation and skin damage.

Current skincare routine for pigmentation:

Basic (cleanser, moisturizer)

Advanced (including serums, treatments)

None

why is it important?

This information allows us to recommend adjustments or new products that can better target your pigmentation concerns.

Are you pregnant or breastfeeding?

Yes, pregnant

Yes, breastfeeding

No

why is it important?

if 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

No

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

No

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.

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

15 days pigmetnation Book Appointment

Date of Appointment

Time of Appointment

First Name

Last Name

Phone/Mobile

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