Online Consultation

Client Consultation Form

1. Complete the Form

Answer the questions below about your skin, routine and goals. It takes about 15 minutes.

2. Review & Analysis

I review your answers, analyse your skin profile and prepare personalised recommendations.

3. Your Plan

You receive a detailed skincare plan with product and treatment recommendations via email.

Section 1. General Information

Preferred contact method (select all that apply)

Gender

Climate where you live most of the year

How did you find TaSama?

Section 2. Skin Type – Baumann Method

Answer thinking about your skin in its natural state – without any products applied, or how it generally behaves.

Moisture Balance

2.1. On a morning after cleansing with nothing applied, after 2–3 hours your skin looks and feels:

2.2. If you skip your moisturiser, your skin:

2.3. Enlarged, visible pores on your face:

2.4. After using a foaming cleanser or soap, your skin feels:

2.5. A few hours after applying foundation without powder, it:

Sensitivity

2.6. Skincare products (cream, cleanser, toner) cause you redness, itching or breakouts:

2.7. How often do you experience breakouts or spots on your face:

2.8. Your face flushes or goes red from stress, exercise, spicy food or alcohol:

2.9. Visible red veins or thread veins on your face or nose:

2.10. Have you ever been diagnosed with acne, rosacea, eczema or contact dermatitis:

2.11. Atopic dermatitis, eczema, asthma or food allergies in your family:

Pigmentation

2.12. After a spot, irritation or cut, a dark or brown mark remains on the skin:

2.13. Dark spots, uneven tone or hyperpigmentation on your face:

2.14. Pigmentation spots during pregnancy, while taking contraceptives or hormone therapy:

2.15. In the sun, your skin:

Wrinkles and Firmness

2.16. Wrinkles on your face:

2.17. How does your mother’s skin look compared to her age:

2.18. How much time have you spent in direct sun over your lifetime (beach, sport, outdoor activities):

2.19. Smoking now or in the past (or prolonged passive exposure):

Section 3. Skin Barrier Condition

This section is one of the most important in a corneotherapy-based approach. The condition of your skin barrier determines how your skin responds to products, environment and stress.

3.1. How does your skin respond to a new skincare product:

3.2. After cleansing with nothing applied, your skin feels:

3.3. Seasonal changes in your skin:

3.4. Do you feel that some products don’t absorb properly or that your skin seems to “reject” them:

3.5. Sudden flare-ups of irritation with no obvious cause:

3.6. Aggressive treatments in the last 6 months:

(chemical peels, device-based treatments, high-strength retinoids, microneedling)

3.7. Does your skin flake or peel?

3.8. Do you feel burning or stinging after applying products?

3.9. Do you notice dehydration lines (small wrinkles from dryness)?

3.10. Do you exfoliate more than 2–3 times per week?

3.11. Have you experienced strong sensitivity after professional treatments?

3.12. Do breakouts appear along with redness or irritation?

Section 4. Medical History and Hormones

4.1. Diagnosed conditions affecting the skin (tick all that apply):

4.2. Medications taken regularly (tick all that apply):

4.3. Hormonal status:

4.4. Connection between your hormonal cycle and your skin:

4.5. Allergies (food, contact, medication):

Section 5. Lifestyle

5.1. How many hours do you usually sleep:

5.2. Your general stress level in daily life:

5.3. Daily fluid intake (water, herbal teas):

5.4. Your diet in general:

5.5. Connection between your diet and your skin condition:

5.6. Physical activity:

5.7. Sun protection:

5.8. Supplements or vitamins for skin health:

Section 6. Current Skincare Routine

Please list the products you currently use. If you don’t use a product, leave it blank or write ‘–’.

Product Brand / product name When used
Cleanser
Micellar water or oil
Toner or essence
Serum
Lotion
Day cream
Night cream
Eye cream or gel
Exfoliant How often:
Mask How often:
SPF (separate)
Foundation  

Application method:

Number of steps in your daily routine:

Preferred pack sizes:

Travel / mini Standard Large / economy
Cleanser
Toner or essence
Cream

Products you have tried and that definitely didn’t work for you:

(name / brand and, if you remember, why)

Section 7. Priorities and Preferences

7.1. Your main skincare priorities right now (choose up to 3):

7.2. The skincare approach that suits you best:

7.3. Textures you prefer or would like to try:

7.4. Fragrance preferences:

7.5. Monthly budget for skincare:

7.6. Is there anything important about your skin that the questions above didn’t cover:

Skin Photos (optional)

Upload up to 3 photos of your skin without makeup, in natural daylight. This helps me assess your skin more accurately before our consultation. Photos are stored securely and used only for your consultation.

Tips: Front view, left side, right side. No filters. Natural light near a window works best.

0 / 3 photos