Skin Consultation

Skin Consultation Form

Your Journey to Healthy Skin Starts Today!

We offer expert advice. Everyone’s skin condition is unique so please make sure you speak to a trained professional and booking a skin consultation in the shop or on our online form before using Juliette Armond products

Juliette Armand prides its Facials on being able to adapt to ‘your skin’s mood’. While understanding that we have different skin types, but also suffering from certain conditions.

For that reason talking to a professional about your skin, Can help you understand what our skin needs and finally teach you how to improve it and wear your best skin. These are thoroughly relaxing treatments that also deliver results.

Please fill out the form below to book your online consultation









    Medical Details

    We need this information to enable us to make treatment recommendations. We are committed to the safety and security of your data. Please view our privacy policy for more information.

    Please tick the appropriate box below:


    YesNo




    YesNo




    YesNo




    YesNo



    Skin Details

    Please tick the appropriate box below:


    Dry (e.g. tight, dull & flakey)Oily (e.g. breakouts, blackheads & shiny)Combination (e.g. Dry cheeks, Oily T-zone)Normal (e.g. balanced and smooth)

    Fine linesWrinklesEnlarged PoresPigmentationAcneScarringRednessSensitive

    Comedones / BlackheadsPustules / White HeadsCystic AcneOccasional SpotsHormonal BreakoutsNever Breakout

    SmokingSunbedsNone of the above

    Not SensitiveMildModerateVery Sensitive

    EczemaPsoriasisRosaceaHerpes SimplexNone of the above

    YesNo

    YesNo

    Photos

    If you can take clear Photos of your skin in the following

    Dietary Details

    Please provide the appropriate information below:







    A single measure of spirits; half a pint of average-strength lager; two-thirds of a 125ml glass of average-strength wine is = to 1 unit

    Your Current Skincare Routine

    Please give details in the appropriate boxes below:





















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