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Complimentary Assessment
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Personal Details
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Step
1
of 6
Name
*
First
Last
Username
*
Email
*
Password
*
Phone
*
Next
Gender
*
Female
Male
There are structural differences between men's skin and women's skin. Androgen (testosterone) stimulation causes an increase in skin thickness, which accounts for why a man's skin is about 25% thicker than a woman's.
Select your age group
*
19-
20 - 25
26 - 30
31 - 35
36 - 40
41 - 45
46 - 50
51 - 55
55+
How much time do you spend in the sun?
*
Never
Once a week
Mainly weekends
Most days
Everyday
Too much exposure to ultraviolet or UV rays can cause sunburn. UV rays penetrate the outer skin layers and pass into the deeper layers, where they can damage or kill skin cells. People who do not have much melanin sun burn easily and should protect themselves by covering up sensitive areas, wearing sun block, limiting their total exposure time, and limiting their sun exposure between the hours of 10 a.m. and 2 p.m.
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Next
Do your parents have similar skin concerns as yourself?*
*
Yes
No
Please specify any similar concerns:
Do you have regular:
Chemical peels
*
Yes
No
Microdermabrasion
*
Yes
No
SkinNeedling/Dermapen
*
Yes
No
Are you taking Vitamin A Tablets (such as Accutane or Roaccutane)
*
Yes
No
Nearly there
Are you planning a sunny holiday in the next 3 months?
*
Yes
No
Are you a smoker
*
Yes
No
Are you using any skin care products at the moment?
*
Yes
No
What products are you using?
Do any of the following statements apply to you?
Current Severe Eczema
Active Dermatitis (allergic or itchy skin)
Open cuts/sores or infected wounds
Are you taking Isotretinoin
None of the above
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Next
Skin Type
*
Normal
Dry
Oily
Combination
Acne
Skin care products have been developed to specifically target certain skin types, this will help in narrowing down our recommendations for you.
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Next
Skin Concern
*
Finelines & Wrinkles
Textured
Pigmentation
Sensitive
None of the above
Generally people can have more than one skin concern, we at skinmiles want to know your main skin concern problem so we can offer a targeted solution just for you.
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Next
Please tell us what you would like to achieve with your skin
*
Please feel free to add any additional info in the space below
Upload Your High Resolution Photo
*
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You can upload up to 2 files.
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