Skin Concern form Skin consultation Let’s build the right routine for your skin Answer the questions below and attach clear photos. We will review your concern and recommend a suitable routine. Your details Full name * Phone / WhatsApp * Email address * About your skin 1. Age * 2. How long have you had these breakouts? * 3. Are there bumps? * —Please choose an option—PainfulItchyNeitherPainful and itchy 4. Which areas are affected? * Jawline / chinCheeksForeheadNoseChestBack Other area (if any) 5. For ladies — skip if not applicable Do breakouts get worse around your period? —Please choose an option—YesNoNot sureNot applicable Are your menstrual cycles regular? —Please choose an option—YesNoNot sureNot applicable 6. What is your skin type? * —Please choose an option—OilyCombinationDrySensitiveNot sure 7. What skincare products are you currently using? * 8. Have you used any acne treatments before? If yes, which ones and for how long? 9. Do you have any known allergies to skincare products or medications? 10. Have you been diagnosed with any medical or hormonal conditions? (e.g. PCOS, thyroid) 11. Are you currently taking any medications or supplements? 12. What is your main skincare goal? * Photos Three photos in natural daylight, no filters, no makeup. JPG or PNG, max 8MB each. Front of your face * Left side * Right side * I understand this is a product recommendation, not a medical diagnosis, and I agree to Enspia Beauty Hub contacting me about this request. Once we receive your responses and photos, we will get back to you.