LUNA 顾客档案

我们将妥善保存您填写的个人信息，希望您提供真实有效的信息，以确保为您提供更准确的皮肤管理方案及服务。 We will securely store your personal information. We kindly ask you to provide true and valid information to ensure we can offer you more accurate skin management solutions and services.

基本信息Basic Information

女士 / 先生Ms. / Mr.

出生日期Date of Birth

电话号码Phone Number

到店日期Arrival Date

获取渠道Access Channel

常住区域Permanent Area

券号Ticket Number

肤质类型Skin Type

中性皮肤Neutral 干性皮肤Dry 油性皮肤Oily 混合偏油Combination (Oily) 混合偏干Combination (Dry) 敏感肌Sensitive

面部问题Face Problem (可多选 / Select all that apply)

皮肤敏感Sensitive Skin 角质薄弱Thin Cuticle 屏障受损Barrier Impaired 出油旺盛Excess Sebum 毛孔粗大Enlarged Pores 黑头/粉刺Blackheads / Acne 痤疮/痘印Acne / Scars 痘坑/瘢痕Pockmarks / Scars 面色暗黄Dull Complexion 色斑Pigmentation / Spots 抬头纹Forehead Wrinkles 法令纹Nasolabial Folds 松弛下垂Sagging / Laxity

眼部问题Eye Problem (可多选 / Select all that apply)

眼周细纹Eye Wrinkles 松弛型眼袋Sagging Eye Bags 水肿型眼袋Puffy Eye Bags 色素型黑眼圈Pigmented Dark Circles 血管型黑眼圈Vascular Dark Circles

颈部问题Neck Problem (可多选 / Select all that apply)

颈部横纹Neck Wrinkles 颈部下垂Neck Sagging 颈部劳累Neck Fatigue

生活习惯Personal Habits (可多选 / Select all that apply)

压力较大High Stress 运动较少Lack of Exercise 作息不规律Irregular Routine 口味偏重Heavy Salt Diet 喜爱甜食Sweet Tooth 抽烟Smoking 饮酒Drinking 便秘Constipation 激素药物Hormonal Meds 未防晒No Sunscreen 饮水较少Low Water Intake 内分泌失调Endocrine Disorder

居家护肤Daily Skin Care (可多选 / Select all that apply)

卸妆Makeup Remover 洁面Facial Cleanser 水Toner 精华Essence 眼霜Eye Cream 乳液Lotion 面霜Cream 面膜Face Mask 去角质Exfoliator 刷酸Peeling 针清Needle Cleaning 防晒Sunscreen

常用品牌Common Brands

护肤功效Skin Care Goal (可多选 / Select all that apply)

清洁Cleansing 补水Moisturizing 美白Whitening 抗皱Anti-Wrinkle 修复Repairing 祛痘Acne Treatment 其他Others

皮肤管理记录Skin Management Record

最近一次皮肤管理项目Last Skin Mgmt Project

无No 有Yes

最近一次整形/注射/光电类项目Last Surgery/Injection/Photo

无No 有Yes

过敏史Allergy History

无过敏史No 季节性过敏Seasonal Allergy 其他Others

禁忌产品Taboo Products

无禁忌None 胶原蛋白Collagen 酒精Alcohol 酸类Acids 美白产品Whitening 其他Others

仪器检测出的皮肤问题Skin Problems (Instrument Diagnosis)

今日问题解决方案Today's Skin Solution

精华液Essence

备注Notes

角质软化Cutin Softening 冷喷/热喷Cold/Hot Spray 清痘Acne Clearing 负压清洁Bubble Cleaning 超声波铲皮Ultrasonic Shoveling 冰导入仪Ice Apparatus 热导入仪Heat Apparatus 超声波导入仪Ultrasonic Apparatus 注水仪Moisturizing Spray 光合作用仪Photon Machine 矿质清肤泥膜Mineral Cleansing Mask 莹润补水面膜Moisturizing Mask 植萃舒缓面膜Phyto Calming Mask

长期问题解决方案Long-Term Skin Solution

1 - 12周精华液方案1-12 Week Essence Plan

居家产品At-Home Products

其他项目方案Other Projects Plan