Consulting registration form

    1. Skin problems that need to be solved:

    AcneLarge poresHe will give usWrinkle

    Pitted scarsRough skinUneven skin toneSkin whitening

    2. Skin type

    Dry skinOilyCombination skinNormal skin

    3. Type of acne

    AcneAcneBlackheadAcneHidden acne

    4. Type of melasma

    Melasma patchesDeep melasma on legsMixed melasma

    5. Have ever used invasive methods:

    Needle rolling, non-needlingLaser therapyPRP Platelet Rich PlasmaBotox injection

    Facial cosmetic surgeryCut the bottom of the scarPeel/PeelOther methods

    6. Have ever used melasma treatment products:

    7. Have you ever used acne treatment products:

    8. Current endocrine health:

    Are you having thyroid problems?Are you having problems related to your ovaries or other reproductive organs?Are you using medications or treatments for your illness?Are you using birth control pills or any other contraceptive methods?

    9. Is there anyone in your family or clan who is experiencing a similar situation:

    10. Other skin problems to note:

    11. Current skin image:

    Note

    • The above information will be used by the company with the purpose of bringing the best results to customers. COSKI company commits to not proactively transfer it to a third party without the customer's consent.

    • To achieve the best results in skin care, customers should provide the above information completely and accurately.

    • Images need to be taken with a regular camera, as clear as possible. Each customer should take 2 photos including: 01 photo of the overall face and 01 photo of the skin area where the customer feels most unsatisfied.

    We wish COSKI's customers always happiness, success and increasingly beautiful!