Skin & Hair Assessment | Modern Mom Kenya

Start Here...What would you like help with today?Hair Loss or Hair ThinningAcne or Breakouts Dark SpotsHyperpigmentationNeed a Skincare Routine

Shedding intensityHave you experienced excessive shedding?YesNo

Most affected areaWhere is the thinning most noticeable?HairlineCrownAll over scalp

Hairloss DurationWhen did the hairloss start?Less than 3 months agoLast 3 years3-6 months agoOver 6 months ago

Tried SolutionsWhat have you used before?MinoxidilFinesterideBlack Castor OilOthers

FrequencyHow often do you get breakouts?FrequentlySometimesRarely

TypeWhat type of acne do you see?Whiteheads / blackheadsInflamed pimplesDeep painful acne

Acne durationHow long have you been dealing with acne?Less than 3 months1-3 Months3-6 MonthsLonger than 6 Months

Type of PigmentationWhat type of hyperpigmentation do you have?Dark spotsLarge patchesUneven skin toneTanning

Hyperpigmentation DurationHow long have you had the hyperpigmentation?Less that 3 months3-6 monthsOver 6 months

Skin sensitivityIs your skin sensitive?YesNo

Almost done! Your results are ready. Where should we send them?Enter your email to see your personalized results and recommended routine. We will also send the results to your inbox.

Enter Email Address *

Confirm Email Address *

Enter Phone Number

Save as Draft