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Skin Assessment

Most people are surprised to learn that the skin symptoms they've been dealing with for months or years can be lessened or even put into remission with natural support.

To enable DermaHarmony to provide you with a comprehensive skin assessment, all fields must be completed.

             
  Do you suffer from any of the following skin conditions?  
Yes 
No
   
  Guttate psoriasis [?] — red or salmon-pink droplike lesions on the skin  
   
  Plaque psoriasis [?] — the most common type of psoriasis: red inflamed skin covered with silvery scales  
   
  Pustular psoriasis [?] — an uncommon form of psoriasis: clearly defined, raised bumps on the skin that are filled with pus  
   
  Inverse psoriasis [?] — found in the armpits, under the breasts, around the groin and genitals, around the buttocks and in other skin folds  
   
  Erythrodermic psoriasis [?] — a particularly inflammatory form of psoriasis that often affects most of the body surface  
   
  Scalp psoriasis [?] — slight fine scaling, to severe, with thick red plaques affecting the entire scalp  
   
  Severe dandruff [?] — Manifested as flaky, dry, sometimes oily and most often itchy  
   
  Seborreheic dermatitis [?] — itchy flaky scales on the scalp  
   
  Eczema [?] — chronic, itchy inflamed skin  
   
  Adult acne [?] — outbreaks of tender, red, pus-filled bumps over the face, neck, back or chest  
   
  Rosacea [?] — redness, inflammation and pimple-like bumps on the face  
   

             
     
Yes
No
   
  Have you visited a primary care physician, dermatologist or rheumatologist for your skin condition in the last year?  
   

             
  What primary areas of your body are affected by your skin conditions?
  Palms  
     
  Fingernails  
     
  Soles of feet  
     
  Arms  
     
  Skin folds (armpits/backs of knees)  
     
  Legs  
     
  Knees  
     
  Elbows  
     
  Back  
     
  Scalp  
     
  Face  
     
  Chest / torso  
     
  Genitals  
     
  Buttocks  
     



  What percentage of your body is affected by your skin condition?
  Less than 2%  
     
  2% to 10%  
     
  11% to 20%  
     
  21% to 40%  
     
  41% to 80%  
     
  More than 80%  
     



  Do you have any of the following skin concerns?  
0
1
2
3
  I experience itching.  
  I experience scaling.  
  I experience redness.  
  I experience flaking.  
  I experience dry skin.  
  I experience bumpy skin.  
  I experience irritation.  
  I experience cracking and bleeding.  
  I have scaly, patchy, white or red raised areas of inflammation on the skin — often on my scalp, elbows, knees or lower back.  
  I have pain, stiffness, or swelling in one or more joints.  
  I have nail pitting or lesions of the fingernails or toenails..  
  I experience prolonged morning stiffness or tiredness.  
  The severity of my symptoms during flare-ups is severe.  



  How long have you had your skin condition?          
  Less than 1 year  
     
  1–2 years  
     
  3–9 years  
     
  10 or more years  
     



     
Yes
No
   
  Does your skin condition lapse for periods of time?  
   
             
 

Our skin assessment is designed to help us get a better understanding of your symptoms and to make diet and lifestyle recommendations for you.

It’s super easy and free and only takes about 5 minutes. Your information is private and will not be shared without your permission.

Upon completion, we will provide immediate valuable feedback based on your personal profile.