Skin Assessment

My Skin Looks

Dull and Dark

Bright and Fair

Greasy and wheatish

My Skin Tone is

Pigmented

Pink Undertone

Yellow Undertone

My Skin Feels

Cool to Touch

Warm to Touch

Cold and moist to touch

My Skin Type

Dry skin

Dry with Oily T-Zone

Oily Skin

My Weight

Difficult to Gain But Loses Weight Easily

Gains and Loses Easily

Gains Easily But Difficult to Loose Weight

My Sleep Pattern is

Short and Disturbed

Balanced and Moderate

Deep and Long

My Bowel Movement is

Prone to constipation / hard stools

Prone to loose bowels/ semi solid stools

Well formed and regular bowel movements

My Body Frame is

Slim

Medium

Heavy

I am best described as

Creative and indecisive

Organised and Goal oriented

Stable & Balanced

My Digestion is

Irregular with small appetite

Quick with high appetite

Slow & moderate appetite

My Emotional Traits are

Overthinking & Anxiety

Anger & Over-analysis

Calm & Easy going

My Energy Levels are

usually high but gets tired easily

always high and optimised

regulated and steady

My Memory is

good short term but forgets easily

sharp and quick with precision

slow to grasp but good in long term

Which of the following Skin issues apply to You?

Acne

Pores

Lines and Wrinkles

Tanning

Pigmentation

Blackheads

Whiteheads

Freckles

Moles

Pustules

Sensitive Skin