Age Group

Under 18
18–25
26–35
36–45
46–60
60+

Gender

Female
Male
Prefer not to say

What is your skin type?

Normal
Oily
Dry
Combination
Sensitive
Not sure

What are your current skin concerns?

Redness or flushing
Itching or burning sensation
Acne or breakouts
Face puffiness (especially in the morning)
Puffy or swollen under-eyes
Tired/dull-looking skin
Skin feels inflamed or irritated often
Cortisol face symptoms (bloated appearance| round face| stressed skin)
Pigmentation or uneven tone
Fine lines or wrinkles
Flaky| tight| or rough texture
Dark spots or post-acne marks

How long have you been experiencing these concerns?

Less than a month
1–3 months
3–6 months
Over 6 months

Do you have a history of allergies?

Yes
No
If yes, please specify:

Do you currently use any skincare products?

Yes
No
If yes, list them:

Known skin conditions?

Eczema
Rosacea
Psoriasis
Seborrheic dermatitis
Other:
None

Under any dermatological treatment?

Yes
No
If yes, mention details:

Typical daily sun exposure?

Low (mostly indoors)
Moderate (commute)
High (outdoors)

Do you use sunscreen?

Yes
No
If yes, which SPF?

Primary skincare goal?

Calm sensitivity
Clear acne
Hydrate and nourish
Brighten skin tone
Reduce signs of aging
Other:

Preferred product types:

Creams
Gels
Serums
Lotions
Balms
No preference

Preferred product characteristics:

Fragrance-free
Paraben-free
Alcohol-free
Vegan
Plant-based
Dermatologist-tested
No preference

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