Skin Consultation

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 Nd 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 follow the Form below to fill out your online Consultation


Consultation

Your Name (required)

Your Mobile (required)

Your Date of birth (required)

Email (required)

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 here for more information.

Please tick the appropriate box below

Are you currently taking any medication prescribed by a GP or any other practitioner
YesNo

If Yes Please explain

Are you currently pregnant, planning pregnancy or breastfeeding?
YesNo

If Yes Please explain

Are you attending any GP or other practitioner for any other conditions?
YesNo

If Yes Please explain

Do you have any allergies? E.g. Aspirin, allergies to ingredients in products?

YesNo

If Yes Please explain

Skin Details

Please tick the appropriate box below

What is your Skin type?
Dry (e.g. tight, dull & flakey)Oily (e.g. breakouts, blackheads & shiney)Combination (e.g. Dry cheeks, Oily T-zone)Normal (e.g. balanced and smooth)

What are your main skin concerns?
Fine linesWrinklesEnlarged PoresPigmentationAcneScarringRednessSensitive

Do you have a history of the following?
Comedones / BlackheadsPustules / White HeadsCystic AcneOccasional SpotsHormonal BreakoutsNever Breakout

Do you have a history of the following?
SmokingSunbedsNone of the above

How sensitive would your skin be?
Not SensitiveMildModerateVery Sensitive

Are your prone to or currently have the following?

EczemaPsoriasisRosaceaHerpes SimplexNone of the above

Are you currently taking any medication containing vitamin A?YesNo

Are you currently using any products that containing vitamin A?YesNo

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

Right side

Left side

Front

Dietary Details

How would you describe your diet?

How much water would you drink per day?

How many unites of Alcohol would you consume per week?(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

Cleanse

Toner

Exfoliator

Mask

Serums

Moisturiser

SPF

Other infromation such as make up brands

Any other information that is valid

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