ALLSKIN | MED Retinol Challenge – Questionnaire 2 (6 Weeks)Name(Required)Clinic Name(Required)Regime Start DateDayDay12345678910111213141516171819202122232425262728293031MonthMonth123456789101112YearYear20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920How easy is the regime to follow?1= Very Difficult, 5= Very Easy54321Have the products caused any irritation? Yes NoIf yes, please provide further details of the type of irritation and how long it lastedIf yes, has any irritation been managed with tips provided on your regime card? Yes NoOn a scale of 1-5, what improvements have you started to see in your skin:1= No Change, 5= Significant ImprovementImprovement in skin texture54321Improvement in fine lines54321Improvement in skin brightness54321Improvement in skin hydration54321Overall ReviewIn your first questionnaire, did you indicate that you had used retinol-based products before? Yes NoHow does the ALLSKIN | MED Renewal Serum compare to the other products that you have used?Skin irritationSignificantly betterBetterNeither better nor worseWorseSignificantly worseFeel of the product on the skinSignificantly betterBetterNeither better nor worseWorseSignificantly worseSkin improvementsSignificantly betterBetterNeither better nor worseWorseSignificantly worseEase of useSignificantly betterBetterNeither better nor worseWorseSignificantly worseBased on your experience and results, will you continue to use the regime? Yes NoWould you recommend the regime to friends? Yes No
