Please let us know where we should
send you the report?
Skincare
Haircare
Body & Lifestyle
Sleep Cycle
Emotions
What are your main skin concerns?
Select all that apply
Fine Lines & Wrinkles
Acne
Dry Skin
Dark Spots
Redness
Dull Skin
Visible Pores
Loss of Firmness
Dark Circles
Blackheads
What does your skin usually look like?
Normal Even texture, neither dry nor shiny with healthy complexion.
Dry & dull Feels dry and lacks radiance, often appearing dull and lacking in moisture.
Redness or Acne prone Prone to breakouts and often has visible inflammation and blemishes.
Oily Often appearing shiny and greasy, requiring frequent mattifying and oil control measures.
What are your main hair concerns?
Select all that apply
Dry Itchy Scalp
Hair Loss
Dandruff
Grey Hair
Thin Brittle Hair
What do your hair & scalp usually feel like?
Normal Neither excessively oily nor overly dry, with a balanced level of natural moisture.
Dry & dull Feels dry and lacks shine, even with regular conditioning and styling.
Itchy Scalp Scalp feels irritated and uncomfortable, leading to frequent scratching.
Oily Looks oily and feels greasy even shortly after washing.
How does your body look like?
Naturally Slim Thin body structure with long limbs.
Medium Average body structure.
Naturally Heavy Well built body structure with broad shoulders.
How often do you usually like to exercise?
Your natural desire to exercise, not basis any program you may currently be on.
Every day I love to exercise daily, more the better.
2-3 times a week I like to exercise but every day is too much for me.
Not much I don't usually feel like exercising.
Do you tend to gain weight easily?
No, I tend to lose weight.
It's usually stable.
Yes, I do.
How many times do you eat per day?
Your natural preference, not any current diet program you may be on.
Irregular snacking Short snacking through the day.
Fixed timing Once or Twice a day.
Fixed timing Thrice or more a day.
What type of food do you prefer?
Salty & Sweet
Spicy & Sweet
Non-sweet food
How do you usually feel after meals?
Normal
Bloated, gassy
Fresh, energized
Tired, lazy
How is your usual bowel movement?
Normal
Constipated: Dry, hard stools
Diarrhea prone: Quick, soft
Time consuming: Sticky, slow
Do you have any sleep problems?
Please select the biggest concern, if any
No
Yes: Problems falling asleep
Yes: Irregular, disturbed sleep
No sleep problems, yet fatigued after waking up
How much sleep makes you feel well rested?
More than 9 hours
7-9 hours
Less than 7 hours
How have your emotions been recently?
Please reflect on your last few days and select the main answer
Stable, no change
Bit more anxiety
More easily angered
Bit deflated, unmotivated
How do you usually react to a problem?
Your natural tendency and immediate reactions
Triggers worry & anxiety.
Find solutions for it immediately.
Problems come & go. I analyze it calmly.
