Questionnaire | Pre-Interview Consultation

Which skin problems does your child have?

What skin problems...

How important is it to get help right now?

How is this affecting your child's life? (Select all that apply)

Stopped going out with friends Starting to not like themselves Stopped being excited by anything Hate looking at themselves in the mirror Lost their confidence Feels unattractive Tried everything and it's just got worse

How is this affecting your life? (Select all that apply)

Feel a failure as a parent Feel I've let my child down Feel everything is my fault Feel guilty that my child is suffering Hate to see my child hiding away and not going out

How would you feel if this wasn't solved?

What would your dream outcome be? (Select all that apply)

My child feels excited about seeing friends My child feels they can achieve anything My child loves their appearance My child feels attractive They feel optimistic about the future I feel happy that my child is happy I feel like a good parent

Q1: How long has your child had these skin problems?

Q2: What have you/they tried in the past? (Select all that apply)

Q3: Please give details of *any* health issues you have which could compromise your immune system? (Select all that apply)

Are you aware of latest research showing...

Q1: A damaged skin microbiome has been linked to all common skin problems (e.g. eczema, dermatitis, acne etc.)?

Yes No

Q2: The majority of people living in the developed (Western) world already have a damaged skin microbiome?

Yes No

Q3: Just like your gut, it is now possible to repair a sub-optimal skin microbiome too?

Yes No

To help assess your skin problems:

Please Specify your child's sex:

Please Specify your child's age:

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Thank you for Completing the Questionnaire

Our specialists will now use this information to create your personal plan

IMPORTANT: your plan will be sent to your email provided.

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Sub-Optimal Skin (SOS) Plan

Questionnaire | Pre-Plan

"I am so happy we found The Skin Microbiome School..."
"It's so wonderful that he's got his smile back!"

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Our specialists will now use this information to create your personal plan

IMPORTANT: your plan will be sent to your email provided.

Exit

Project τ™

Sub-Optimal Skin (SOS) Plan

Questionnaire | Pre-Plan

"I am so happy we found The Skin Microbiome School..." "It's so wonderful that he's got his smile back!"

Project τ™

Our specialists will now use this information to create your personal plan

IMPORTANT: your plan will be sent to your email provided.

Exit

"I am so happy we found The Skin Microbiome School..."
"It's so wonderful that he's got his smile back!"