Answer 7 questions about your skin

I would love to work with you if I believe I can help.


    1. Is your skin prematurely aged?
    No, but I'm unhappy with its appearanceYes, I look at least 5 years olderYes, I look at least 10 years older
     
    2. What skin symptoms do you suffer with?
    DryDullFine linesDeep wrinklesSensitiveSaggingDark bagsPuffy eyesSun damaged skinBroken capillariesPigmentationAge spotsFlushing
    Other
     
    3. Have you reached the menopause?
    No, I have periods every monthNo, but I have periods less oftenYes, my periods have stoppedNo, I'm male
    Other
     
    4. What have you tried in the past?
    Sugar freeFastingPhyto-oestrogenic foodsGluten freeDairy freeHealthy fatsA healthy balanced diet
    Other
     
    5. Have you tried other treatments / products?
    HRT (Hormone replacement therapy)Laser treatmentChemical exfoliatorsSerumsMoisturisersOilsFood supplements
    Other
     
    6. Do you believe that diet may be able to help your skin?
    YesNoMaybe
     
    7. What are you most interested in?
    Nutrition consultations only (£690 for 1 month, £1390 for 3 months, £2390 for 6 months)Diagnostic tests (e.g. allergy tests, digestive stool tests)I’m unsure, I need to know more
    Other
     

     

     
    How old are you?
    18-29 yrs30-39 yrs40-49 yrs50-59 yrs60-69 yrs70+ yrs
     
    Do you have any other comments or questions?