Dr Sunaina Hameed's
Family Dermatalogy, Asthetic Lasers, Anti-Ageing Medicine & Plastic Surgery.

beauty boutique questionnaire

are you pregnent or breast feeding

  • How does your skin feel 15 minutes after washing your face?
  • How much sun are you exposed to on a daily basis (even if you are travelling by car or bus)?
  • What kind of facial pigmentation do you suffer from?
  • Do you suffer from pimples? Tell us more...
  • Do you suffer from dandruff?
  • Do you have dry hands?
  • Do you have cracked feet?
  • Do you have wrinkles on your face?
  • What kind of hair do you have?
  • I want advice on what kind of moisturizer do I need to use for my body? I have...
  • What kind of lips do you have?
  • Tell us about the skin around your eyes..
  • Have you ever had an allergic reaction to any cosmetic, medicated cream or facial? If so, please name the cream/facial
  • Tell us about your present skin and hair care regime? (This may include face wash, toner, scrub, serum, sunscreen, under eye cream, moisturizer, home remedies, face packs, parlour treatments/packs/creams, hair oil, shampoo, conditioner, hair serum, hair gels, hair color, henna etc.)

* Fill out this questionnaire and mail it for an online (paid) consultation to understand your skin and hair type, and for advice on skin care and hair care.

Disclaimer – A direct face-to-face consultation is always preferred. This questionnaire does not replace the benefits of a face-to-face consultation. This questionnaire does not replace the need for medical treatment (in case of acne, hair fall, dandruff, roscea or pigmentation). However, correct skin and hair care plays an important, supportive role in medical treatment. Online consultation provides scientifically sound advice which is accessible to one and all, without boundaries or restraint. Your details (name, email id, bank details, credit card/debit card details, photos, if any) remain private and confidential. Your details will not be sold or shared with any third party. Photos, if any, will remain safe in our database and will not be shared on website, social media, medical conferences or textbooks. Online skin & hair care consultation is not provided for anyone less than 18 years of age.

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