What is your age group?
20s
30s
40s
50s
60s

What is your skin tone?
Very fair skin that burns easily
Light to medium skin, sometimes burns
Medium to dark brown skin, never burns

Do you have any red broken capillaries or acne scars on your face?
Too many to count
Here and there
None at all

Do you have active acne?
My face erupts like Mount Vesuvius
I have an occasional outbreak
My skin is calm and clear as a sunny day

Do you have fine lines around your lips or eyes?
Birds can nest in my crow's feet.
I have a few wrinkles but not much to cry about
I'm still smooth as a baby

Do you have deep creases on your forehead or cheeks?
My lines as deep as the San Andreas fault
I'm starting to see some early erosion
I'm as unlined as blank paper

Is your skin sagging?
I am often confused with a Shar Pei
I have a little laxity in my jowl and chin area
Tight and toned all the way

Do you wear sunscreen?
What's that?
When I'm going to be outside all day
I never leave home without it

Do you go to tanning booths?
I'm a regular
I go occasionally before big events or vacations
Never, never!

Do you smoke?
Pack a day or more
Social smoker
Never touch one

What is your stress level?
Through the roof
I fret occasionally but know how to relax
I'm a Zen practitioner

How do you sleep?
Who's got time for sleep?
I toss and turn a few days a month
Sleep like the dead