Sunshine Botanicals - Skin Regimen

Design Your Own Program
Personalzed skin care regime

Please refer to the “Conditions & Treatments and Treatments” link to view all our highly effective skin treatment protocols. Perhaps what you’re looking for is right there! However, we understand that everyone is different and needs vary.

If this is your situation, please fill out the questionnaire below and tell us how we can help you address your concerns more specifically. Our Holistic Aesthetician and Natural Health Specialist will review your request for assistance and a response will be e-mailed to you within 48 hours. There is no charge for this service.

First Name:	Email Address:
Phone Number:
Sex:	Age:

1. What word best describes the skin on your forehead?

Oily

Dry

Normal

2. What describes the skin on your cheek and nose area?
Oily
Dry
Normal

3. What best describes the skin on your chin and neck area?
Oily
Dry
Normal

4. Do you suffer from acne?
Yes
No

5. Do you have enlarged/visible pores?

Yes

6. Describe the pigmentation of your skin (these are broad descriptions so please no one be offended!):

Caucasian/Fair/Porcelain

Medium/Olive

Medium Dark

Dark

7. How would you describe your daily exposure to UV?

I like to spend a lot of time outdoors in the sun

I occasionally spend time outdoors

I work and live my whole life indoors

8. As far as UV is concerned:

I burn extremely fast

I can tolerate some sun no problem

I never have any adverse reactions to sun exposure

9. Do you ever suffer from unexplained redness or ruddiness in your face, mainly in the cheek and/or nose area?

Yes

10. Does your skin flush or react after eating spicy foods? Is your skin sensitive to temperature changes or extreme wind and cold?

Yes

11. I have in the past been diagnosed with the following on my face (check all that apply):

Rosacea

Eczema

Seborrhaic Dermatitis

Psoriasis

None

12. Do you use/do any of the following to your skin on a regular basis? Check all that apply:

Shave

Bleach

Wax

Hair Remover

Electrolysis/Laser

Glycolic/Acid Peels

Retin-A/Retinol/Renova/Tazorac/Retisol

13. In general:

I have very sensitive skin and it tends to react very quickly when it is unhappy

I can tolerate most products with no adverse reactions

My skin is quite tough and can handle almost anything

14. Does this sound like you?

I do not want to spend more than 5 minutes on my face per day

I religiously wash and tend to my skin morning and night

I go for facials, I love peels, I can spend up to 20-30 minutes on my face if it means my complexion will be perfect!

15. Do you wear makeup?

Every day

Once in a while

No not at all

16. Do you use foundation or concealer?

Yes

In the box below, please type in anything else you would wish to tell us about your skin so that we may help create a better customized solution:

(ie. Currently used products, medications, health concerns, allergies)

Disclaimer:
The information presented herein by Sunshine Botanicals is intended for educational purposes only. These statements have not been evaluated by the FDA and are not intended to diagnose, cure, treat or prevent disease. Individual results may vary, and before using any supplements, it is always advisable to consult with your own health care provider.