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Skin Evaluation

  

KS Skin Care
  

We are here for you! Our team of Skin Health Experts® are ready to place you on the path to beautiful skin. Each expert is a trusted professional, personally trained by Kate, here to consult with, educate and advise you. We are here to listen and help determine the product and/or regimen right for you.  

 

Simply answer the questions below and a Kate Somerville Skin Health Expert® will personally evaluate your confidential answers and respond with recommendations for the most effective product treatment plan for your skin concerns. You will receive an email with an attached customized Prescription Card in a PDF format file. Please provide us with answers to all the questions listed below so we can make the best possible recommendations.

Contact Information
How would you prefer to receive your product recommendation results from a Skin Health Expert? (Note: Speaking with a Skin Health Expert is always recommended to ensure the most accurate recommendation possible. Please feel free to call us at 1-800-984-5283 (KATE)

Skin Health Information
/ /
Yes No
Aspirin
Hydroquinone
Salicyclic Acid
Retin-A
Hydrogen Peroxide
Beta Hydroxyacids
Benzoyl Peroxide
No allergies to any of the above
Yes No
Yes No
Yes No
I have environmentally damaged skin
I have occasional Acne
I have deep cystic Acne
I have dry skin with Acne breakouts
I have dehydrated skin
I have combination skin, dry in some places, oily in the T zone
I have oily skin all over my face
I have lines and wrinkles from natural aging
I have no special skin problems
Clear up Acne eruptions
Decrease oiliness of skin
Lighten skin complexion or hyper pigmentation areas
Smooth Skin Texture
Diminish wrinkles and fine lines
Post-facial procedure or surgery skin care
Hydration
BY SUBMITTING THIS FORM I ACKNOWLEDGE THAT I HAVE READ AND UNDERSTAND THE FOLLOWING:
This questionnaire submitted online cannot substitute for the completeness of an in-person consultation with licensed professional skin care estheticians or doctors. The Skin Health Experts of Kate Somerville analyze your skin type and suggest products solely on the completeness and accuracy of the information provided by you. This is not an automated generated response to your inquiry. This is a personalized E-Mail response from one of our Skin Health Experts within 3-5 business days of sending your inquiry. If you require an immediate response, please call our toll free number at 1-800-984-KATE (5283) Monday-Friday between 9 AM and 5:30 PM PST and one of Kate Somerville’s Skin Health Experts will be happy to assist you.

* required information

Evaluate my skin
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