George Michael Lowhigh - System Elite Salon


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Online Skin Consultation

If you would like a custom product recommendation by George Michael Lowhigh Please fill out the following questionnaire and George will set up a regimen customized just for you and your individual needs!

  Date of birth (mm/dd/yy)*
  First Name*
  Last Name*
  Email*

1.What is the biggest problem you have with facial complexion?

2.How would you best describe your facial complexion?
Very Dry
Dry
Normal To Dry (Occasional Dry Spots)
Normal
Normal to Oily (T Zone)
Oily
Very Oily
Acne Prone

3. Check all that apply. I am a:

Male	Female	Under 18 years old
18 to 30 years old	30 to 50 years old	50+

4. Check all that apply:

I get occasional acne on my face.	I have dark circles under my eyes	I like sunscreen on my face of 15 S.P.F or less
I like sunscreen on my face of 30 S.P.F or less	I have small spider veins on my face	I have roseacea
I have fine lines/wrinkles on my face	The face on my skin looks dull/feels rough	I use prescription medicine for my complexion
I am very sensitive to the sun	I tan regularly outside or in a tanning bed

5. How would you best describe the skin on your body?
Very Dry
Dry
Normal to Dry
Normal
Normal to Oily
Oily
Very Oily
Acne Prone

6. Check all that apply:

My hands and/or feet are dry and rough	My skin has a tendency to be very dry and/or rough	I have recently had laser surgery on my body/face
I take baths regularly	I tend to have sore, tired muscles	I always shower instead of soaking in a bath
I get knots in the muscles on my shoulders, and/or back and legs	I suffer from minor arthritis pain	I see cellulite in spots on my body

7. List any special needs or questions that you may have about your skin:

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