SKIN AGE TEST 2: Comprehensive Skin Age Test Congratulations on taking a proactive step in your skincare by discovering your skin age! The quiz will take about 8 – 10 minutes to complete, but the results are worth it! Please note that results are more accurate if you are 51 years and older. Ready? Let’s go! How old are you? Please select your answer 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 87 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 How does your biological mother look for her age? Please select your answer Amazing! Not bad—she looks younger than her age Basically, she looks about her age. She looks older than her age. Unsure What is your natural skin color? Ivory Beige Light brown Medium brown Dark brown Very dark brown None Which term best describes your skin type? Oily Normal or combination Dry Sensitive and flushes easily None How many painful and blistering sunburns have you had in your life? None! 1-3 4-6 7-9 10+ None Approximately how many hours do you spend in the sun per WEEK for work and recreation on average throughout the year? (Please also count time spent driving in the sun) Less than an hour 1-3 hours 4-10 hours 11-20 hours 21-30 hours 30+ hours None Approximately how many times in your lifetime have you used indoor tanning equipment or sunbathed excessively to get a tan? Never! 1-10 11-20 21-30 30+ None What is your relationship with sunscreen use? Sunscreen? I don’t use that stuff I only use it when I’m going to be out in the sun I use it about 4-5 days a week I apply it once every day I use it daily and reapply during the day None How many servings of foods high in sugar do you consume daily? Examples: a can of soda; glass of juice; a serving of dessert, dried fruit, or sugary cereal; a candy bar, etc.? None Just 1 or 2 3 or 4 5 or more None How much water do you drink daily? 3 glasses or less 4-5 glasses 6-7 glasses 8 or more None How much sleep do you get per night on the average? 4 hours or less 5-6 hours 6-7 hours 7-8 hours 9 hours or more None How many days this week have you had moderate exercise (that causes you to break into a sweat) for 30 or more minutes? None 1-2 days 3-4 days 5 or more days None Pinch the fleshy part of your hand between your thumb and index finger. How many seconds does it take for the skin to bounce back? Less than a second 2-3 seconds 4-5 seconds More than 5 seconds None How stressful is your life? How many days have you felt stressed this week? None at all Just 1 or 2 days 3-4 days 5 or more days None How has your weight changed since high school? I can still wear my senior outfits I have shrunk from my high school size I’ve gained up to 20 pounds I’ve gained more than 30 pounds I have yo-yoed up and down None Tick each product below that is part of your regular skin-care routine: Choose all that applies Cleanser Moisturizer Antioxidant serum or cream Retinoid cream Exfoliant Sunscreen Take a look at your face, paying attention to any lines/wrinkles and around your eyes. Do you have lines/creases around your mouth (e.g. smile/laugh lines)? None Mild. Noticeable when moving facial muscles Moderate. Present all the time Deep, noticeable creases None Do you have Lines/creases at the outer corners of your eyes (Crow’s feet) and on your forehead? None Mild. Noticeable when moving facial muscles (e.g. when smiling, squinting, etc.) Moderate. Present all the time Deep, noticeable creases None Do you have bags under your eye? None Just small ones Distinct ones None Look at the surface of your face. Do you have brown/dark spots? None Mild/subtle Moderate Severe/Very noticeable None Look at the surface of your face. Do you have broken blood vessels? None Mild/subtle Moderate Severe/very noticeable None Look at the surface of your face. Do you have uneven skin tone/ complexion? Do you have patches/areas of skin where the skin color is different e.g. darker than your skin color? None Mild/subtle Moderate Severe/very noticeable None Now let’s pay attention to other signs of aging, such as hair and teeth. Do you have thinning or loss of eyebrows, lashes, and hair on head? None Mild/subtle Noticeable None Do you have whitening (natural) on your hair (on the lashes, eyebrows, beard, and scalp? None Mild/subtle Noticeable None Do you have discolored teeth, broken teeth, replaced teeth or dentures? None Few (1-4) teeth with issues Several (5 or more) teeth with issues I wear dentures None What are your bad habits? You can select all more than one Smoking (current smoker) Former smoker Being around smokers (and if you are a current smoker, check this box in addition to the top one) Drinking (more than 2 alcoholic drinks at a time for women; >3 drinks at a time for men) Drinking alcohol 3 or more days a week) Eating junk food (3 times or more per week) None of the above Which of these practices do you perform on a regular basis? Select all that applies Gratitude (being grateful, keeping a gratitude journal) Goal-setting (having goals for your day or week) Social activities with friends or family that are uplifting or volunteer work at least once a week Faith-based activity (e.g. prayer, attending church/a religious service regularly) Mindfulness activity at least twice a week (e.g. meditation, deep-breathing, yoga, tai-chi) A hobby/ activity that makes you happy and fulfilled None of the above Which of the following do you do? Select all that applies I take muiltivitamins daily Additionally, I take “antiaging” supplements like turmeric, vitamin D, vitamin E, CoQ10, etc. I use “clean” household and self-care products. I am conscientious about detoxing my home/environment. Therapeutic activities weekly e.g. massage, hydrotherapy, aromatherapy, sauna, home-spa techniques None Which of these skin conditions apply to you? You can select more than one I have a history of precancerous skin lesions. I have a history of skin cancers. I have a chronic skin condition like psoriasis or eczema that flares from time to time I have a history of poorly treated acne or rosacea. None of the above Which of these apply to you? You can select more than one Select all that applies to you I am overweight or obese I have heart or lung disease (including hypertension). I have gut problems (frequent diarrhea, bloating, constipation, etc.) I have diabetes I have osteopenia (early bone loss or osteoporosis) I have another chronic illness or autoimmune disease not mentioned above. I am menopausal (either normal, or surgical menopause before age 40) I have a history of dieting and depriving myself of too many calories. I have a history of excessive exercise (e.g., spending more than 2 hours working out) None of the above Your Name Your Email Address Time’s up
