Acne Treatment (Chemical Peel) Form

Acne Treatment (Chemical Peel) Questionnaire

Name

Age

Gender

Contact Number

Email

Have you undergone any acne treatments before? If yes, please specify.

What products are you currently using for your skincare routine?

Do you have any known allergies to skincare products or any other allergies? If yes, please specify.

Have you ever had a chemical peel before? If yes, please specify the type and its effects.

Are you currently under the care of a dermatologist or any other healthcare professional? If yes, please provide details.