Online Evaluation Form

Personal data

About your skin and acne

Since when have you had acne problems?
Where does your acne appear?
How would you describe your acne?
Have you received treatments before?
Do you have sensitive skin or have you had allergic reactions to products?

Lifestyle and habits

How often do you eat fatty, dairy, or sugary foods?
How often do you suffer from stress or lack of sleep?

Goals and expectations

What is your main goal with this treatment?
How committed are you to following a daily routine?

Attach photos