18701 speed mapping prescription sheet update hr

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speed mapping skin analysis ®

A

name:

B

phone:

B C

email:

C D

Speed Mapping gets you started with Dermalogica’s skin health system. On your next visit ask for a more in-depth professional consultation from our licensed skin therapist, . To learn more about our entire product range, visit dermalogica.com. To begin, we need to know a few things about you: 1) Is this your first introduction to Dermalogica? q Yes q No ®

2) Have you ever used professional grade skin care products before?

E

key: b = breakout activity c = comedones d = dilated capillaries dh = dehydration m = milia

p = pigmentation fl = fine lines dl = deep lines s = sensitivity/redness

q Yes q No 3) Are you currently undergoing any medical skin procedures or using any oral or topical medications or exfoliants that may impact your skin? q Yes q No (If yes, please explain)

Key products for you: Make-up removal and precleansing: q PreCleanse

q Soothing Eye Make-Up Remover

Areas A and D help determine: cleanser, AM moisturizer and PM moisturizer

Concern

Recommend

q Oiliness and breakouts q Oiliness q Overall balanced q Dryness/fine lines q Sensitized, redness-prone

Cleanser Clearing Skin Wash Dermal Clay Cleanser Special Cleansing Gel Skin Resurfacing Cleanser UltraCalming™ Cleanser

AM Moisture Oil Free Matte SPF30 Oil Free Matte SPF30 Skin Smoothing Cream Dynamic Skin Super Sensitive Shield SPF30

Exfoliation:

Popular products and favorites for:

Areas C and E help determine: exfoliation

Concern

Recommend

q Aging, fine lines q A lot of redness and flushing q A little redness or sensitivity on the cheeks q Oily, congested skin q Shaving prep

MultiVitamin Thermafoliant® Daily Microfoliant® Daily Resurfacer Skin Prep Scrub Daily Clean Scrub

Eye treatment:

Acneic skin Concealing Spot Treatment Overnight Clearing Gel Sebum Clearing Masque Oily skin Clearing Mattifier Sebum Clearing Masque Dehydrated skin Skin Hydrating Booster Multi-Active Toner

Concern

Recommend

q Dryness and dehydration q Some fine lines and the onset of premature aging q Dark circles, and some sun damage q Deeper lines and signs of aging

Intensive Eye Repair MultiVitamin Power Firm Total Eye Care with SPF15 Age Reversal Eye Complex

Premature aging MAP-15 Regenerator® MultiVitamin Power Recovery® Masque Overnight Repair Serum Sensitized skin UltraCalming™ Mist UltraCalming™ Serum Concentrate

AREA ________ PRODUCT_______________________________________ USAGE _________________ AREA ________ PRODUCT_______________________________________ USAGE _________________ AREA ________ PRODUCT_______________________________________ USAGE _________________

4042 rev 7.13

Area B helps determine: eye treatment

Additional recommendations

PM Moisture Oil Control Lotion Active Moist Skin Smoothing Cream Super Rich Repair Barrier Repair


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