1. After washing with water, do not use a cream, toner, serum or other product. After two or three hours, look in a mirror under bright light. Your forehead and cheeks look, or feel:

• Flaky or look cracked
• Tight
• Well moisturized without any light reflection (matte)
• Shiny

2. Your face looks shiny in the photos:

• Never, or I have never noticed shine
• Sometimes
• Often
• Always

3. Two or three hours after applying foundation, but without powder, your makeup looks like this:

• Flaky and emphasizing wrinkles
• Smooth and even
• With shine
• Can "flow", has a bright shine
• I do not use foundation

4. In low humidity environments, if you don't use a cream, your skin on your face:

• Feels very dry or cracked
• Feels tight
• Feels normal
• Looks shiny, or I never feel the need for cream
• I don't know

5. Look in a magnified mirror. How many large pores do you have, the size of a needle tip or larger?

• None
• A few in the T-zone (forehead and nose)
• Many
• Tons!
• I don't know (please look again and select this option if you cannot identify them)

6. How would you characterize your skin?

• Dry
• Normal
• Combination
• Oily

7. If you use a soap that produces a lush lather, the skin on your face:

• Feels dry and cracked
• Feels slightly dry, but not cracked
• Feels normal
• Feels oily
• I do not use soaps or other cleansers that actively foam (If because they make your skin dry, select the first answer)

8. If you don't moisturize your face, it feels tight:

• Always
• Sometimes
• Rarely
• Never

9. You have clogged pores (blackheads, comedones)

• Never
• Rarely
• Sometimes
• Always

10. Your face is oily only in the T-zone (forehead and nose):

• Never
• Rarely
• Sometimes
• Always

11. Two or three hours after applying the cream, your cheeks:

• Feel dry, flaky or cracked
• Smooth
• Slightly shiny
• Actively shiny, or I do not use creams

1. You have rashes on your face:

• Never
• Rarely
• At least once a month
• At least once a week

2. Care products (including cleanser, cream, toner, makeup) cause you to experience redness, rashes, or irritation:

• Never
• Rarely
• Often
• Always
• I do not use cosmetics

3. Have you ever been diagnosed with acne (acne) or rosacea (rosacea)?

• No
• Friends and colleagues told me that I have these conditions
• Yes
• Yes, severe form
• Not sure

4. If you wear jewelry that is not 14-carat gold, how often do you get a rash?

• Never
• Rarely
• Often
• Always
• Not sure

5. Do sunscreens cause itching, irritation, rashes or redness?

• Never
• Rarely
• Often
• Always
• I never use sunscreen

6. Have you ever been diagnosed with atopic dermatitis, eczema, contact dermatitis (or allergic rash)?

• No
• Friends said I have these problems
• Yes
• Yes, severe stage
• Not sure

7. How often do you get a rash underneath your rings?

• Never
• Rarely
• Often
• Always
• I do not wear rings

8. A scented bubble bath, massage oil, or body lotion causes you to experience itching, rashes, redness, or a severe feeling of dryness:

• Never
• Rarely
• Often
• Always
• I never use these types of products (choose 4 if you do not use them because they cause you these problems)

9. Can you use soap from hotels (other public places) on your body or face without any problems?

• Yes
• Most of the time I do not have any problems
• No, my skin gets irritated, red, or rashes
• I would not use it, there have been too many problems in the past!
• I carry my own, so I'm unsure

10. Has anyone in your family been diagnosed with atopic dermatitis, eczema, asthma, and/or allergies?

• No
• At least one family member
• Several family members
• Many members of my family have dermatitis, eczema, asthma, and/or allergies
• I am not sure

11. What happens if you use strongly scented laundry detergent and/or fabric softener?

• My skin is fine
• My skin feels a little dry
• My skin is itchy and irritated
• My skin itches and breaks out in rashes
• I am not sure, I never use them

12. How often does your face or neck become red after moderate exertion and/or stress or strong emotions, such as anger?

• Never
• Rarely
• Often
• Always

13. How often do you blush instantly after drinking alcohol?

• Never
• Rarely
• Often
• Always, I try not to drink because of this problem
• I do not drink alcohol

14. How often do you instantly turn red from spicy or hot food or drinks?

• Never
• Rarely
• Often
• Always
• I never eat spicy food. (If you do not do so because you blush, choose answer 4)

15. How many visible red or blue blood vessels or spider veins do you have on your face and nose (if you had a correction, please indicate the condition before it)?

• None
• Few (one or three on the whole face, including the nose)
• Several (four or six on the whole face, including the nose)
• Many (more than seven on the face, including the nose)

16. Does your face look red in the photo?

• Never, I never notice it
• Sometimes
• Often
• Always

17. People ask you if you have sunburned when you have not:

• Never, I never notice it
• Sometimes
• Often
• Always
• I always feel as if I have burned in the sun

18. Have you ever experienced redness, irritation, or swelling from makeup, sunscreen, or care products?

• Never
• Sometimes
• Often
• Always
• I do not use these products (If you do not use them because of redness, irritation or swelling, choose option 4)

19. Has your dermatologist diagnosed you with acne (acne), rosacea, contact dermatitis, or eczema?

• Yes
• No

20. Has a general practitioner diagnosed you with acne, rosacea, contact dermatitis, or eczema?

• Yes
• No

1. Does a pimple or ingrown hair leave a dark spot?

• Never
• Sometimes
• Often
• Always
• I do not have pimples or ingrown hairs

2. After you cut yourself, how long does a brown (not pink) mark remain on your skin?

• I do not have a brown mark
• A week
• Several weeks
• A month

3. How many dark spots did you develop on your face when you were pregnant, on birth control pills, or taking hormone replacement therapy (HRT)?

• None
• One
• Several
• Many
• The question does not apply to me (because I am a man, or because I have never been pregnant, or have not taken birth control pills, or I am not sure if I have any age spots at all).

4. Do you have any dark spots or patches on your upper lip or cheeks? Or have you had any in the past that you have had removed by IPL?

• No
• I am not sure
• Yes, I have them but they are hardly noticeable
• Yes, I have them and they are very noticeable

5. Do your age spots get darker when you sunbathe?

• I have no age spots
• I am not sure
• They darken a little
• Very dark
• I wear sunscreen every day and never get a tan. (Please note: if you wear sunscreen all the time because you are afraid of dark spots or freckles, please select answer 4)

6. Have you ever been diagnosed with melasma (meaning a diagnosis by a cosmetologist, dermatologist), light, dark or gray spots on your face?

• No
• Once, but I got rid of them
• Yes
• Yes, severe form
• I am not sure

7. Do you have, or have you ever had, small spots (freckles or sun spots) on your face, chest, back, or arms?

• No
• Yes, a few (one to five)
• Yes, many (6-15)
• Yes, a lot (16 and more)

8. When exposed to sun for the first time in several months, your skin:

• Only burns
• Burns at first, but then tans
• Tans
• My skin is already dark, so it's hard to tell if it tans, (You can't choose "I've never tanned under the sun", think back to your childhood).

9. If you happen to be constantly under the sun for many days:

• I get sunburned and sunburnt, but my skin does not change color
• My skin gets a little darker
• My skin gets much darker
• My skin is already dark, so it is not clear whether it is getting darker
• I am not sure (Again, you cannot choose "I have never sunbathed" - think back to your childhood)

10. When you go in the sun, do you develop freckles (small 1-2 mm, pinpoint-sized flat spots)?

• No, never
• I get a few small new freckles every year
• I often get freckles
• My skin is already dark, so you can't see if I have freckles
• I don't go out in the sun (Good for you!)

11. Did either of your parents have freckles? If so, please indicate how many. If neither or one parent did, respond to the question. If both did, answer the question based on the parent with the most freckles.

• None
• A few on the face
• Many on the face
• Many on face, chest, neck, and shoulders
• Not sure

12. What is your natural hair color? (If gray or white, state color before graying)

• Blond
• Brown (dark brown)
• Black
• Red

13. Have you or any of your blood relatives ever had melanoma?

• No
• One person in my family
• More than one person in my family
• I had melanoma
• I am not sure

14. Do you have dark spots on your skin in areas of sun exposure?

• Yes
• No

1. Do you have wrinkles on your face?

• No, not even when I smile, frown or raise my eyebrows
• Only during facial movements, when I smile, frown or raise my eyebrows
• Yes, in movement and some at rest, without movement
• There are wrinkles even when I do not smile, frown or raise my eyebrows

2. How old does your mother's skin look (or used to look)?

• Five to ten years younger than her age
• About her age
• Five years older than her age
• More than five years older than her age
• I can't answer, I was adopted or I can't remember

3. How old does your father's skin look (looked)?

• Five to ten years younger than his age
• About his age
• Five years older than his age
• More than five years older than his age
• I can't answer, I was adopted or I can't remember

4. How old does your maternal grandmother's skin look (used to look)?

• Five to ten years younger than her age
• About her age
• Five years older than her age
• More than five years older than her age
• I cannot answer, I was adopted or I cannot remember

5. How old does your maternal grandfather's skin look (did look)?

• Five to ten years younger than his age
• About his age
• Five years older than his age
• More than five years older than his age
• I cannot answer, I was adopted or I cannot remember

6. How old does your paternal grandmother's skin look (used to look)?

• Five to ten years younger than her age
• About her age
• Five years older than her age
• More than five years older than her age
• I cannot answer, I was adopted or I cannot remember

7. How old does your paternal grandfather's skin look?

• Five to ten years younger than his age
• About his age
• Five years older than his age
• More than five years older than his age
• I can't answer, I was adopted or I can't remember

8. During your lifetime, have you ever sunbathed on a regular basis for more than two weeks a year? If yes, how many total years have you done this? Please include tanning from playing tennis, fishing, golf, skiing, or other outdoor activities. The beach is not the only place to get a tan.

• Never
• One to five years
• From five to ten years
• More than ten years

9. At any time in your life, have you ever engaged in seasonal tanning of two weeks per year or less? (Yes, summer vacation counts!) If so, how often?

• Never
• From one to five years
• From five to ten years
• More than ten years

10. Based on places you've lived, how much daily sun exposure have you received in your life?

• Not much: I have mostly lived in places where it is gray and cloudy
• A little: I have lived in climates with little sun, as well as in places with more or less sun
• Moderately: I have lived in places with sufficient sunshine
• A lot: I have lived in the tropics, in the South, or in very sunny places

11. How old do you think you look?

• Five to ten years younger than your age
• About my age
• Five years older than your age
• More than five years older than your age

12. During the last five years, how often have you allowed your skin to tan intentionally or unintentionally through outdoor sports or other activities?

• Never
• Once a month
• Once a week
• Every day

13. How often, if ever, have you been to a tanning bed?

• Never
• From 1 to 5 times
• From 5 to 10 times
• Many times

14. Over your entire life, how many cigarettes have you smoked (or been exposed to)?

• None
• A few packs
• Many packs
• I smoke every day
• I never smoke, but I live, work, or grew up with people who regularly smoked in my presence

15. Please describe the level of air pollution in the place where you live

• The air is fresh and clean
• Some part of the year, but not all year, I live in a place with clean air
• The air is a bit polluted
• The air is very polluted

16. Please indicate how long you have been using face creams with retinoids (retinol, retinal, adapalene, etc.):

• Many years
• From time to time
• Once for acne when I was younger
• Never

17. How often do you eat fruits and vegetables now?

• With every meal
• Once a day
• From time to time
• Never

18. Over your lifetime, what percentage of your daily diet has consisted of fruits and vegetables? (Note: don't count juices unless they are freshly squeezed)

• 75 - 100%
• 25 - 75%
• 10 - 25%
• 0 - 10%

19. What is your natural skin color (no tan or self-tanner)?

• Dark
• Medium (dark)
• Light
• Very light

20. What is your ethnicity?

• African-American
• Asian/Hindu/Mediterranean/Other
• Latin American/Spanish
• European

21. Are you over 65 years old?

• Yes
• No