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QuizElizabeth Rostan, M.D.

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Step 1 of 5

20%

Select all that apply to your skin*

You feel like you’ve tried everything to clear acne, and nothing works.

Your acne clears, but you continue to see new breakouts.

As your acne clears, you see scars or dark spots.

You’ve felt depressed, anxious, or less interested in hanging out with friend since you’ve had acne.

You want to hide your face because of your acne.

You’ve had acne for years and cannot understand why you still have it.

What areas are you concerned about?*

Face

Back

Mouth Area

Chest

Neck

Thighs

Scalp

Arms

Other

Select all that apply to your skin*

Don’t Wash Face Daily

Touch Your Face Constantly

Pick, Pop or Squeeze Your Acne

Stay Out In The Sun Long Term

Don't Shampoo Regularly

Consistently Switch Skincare Products

Apply Acne Medication Only To Your Blemishes

Sleep In Your Makeup

Eat Greasy Food

What age group are you?*

18-24

25-34

35-44

45-54

55-64

65+

Is it time to see a dermatologist*

First Name Last Name

Email*

Phone Number*

Message

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Charlotte Skin & Laser

HOURS:
*Monday 8AM–5PM
Tuesday 8AM–5PM
*Wednesday 8AM–5PM
Thursday 8AM–5PM
Friday 8AM–4PM
*Saturday Closed
Sunday Closed
*Extended Spa Hours: Mon & Wed until 6PM, and Sat 9AM-1PM

Charlotte Skin and Laser 130 Providence Road Charlotte, NC 28207

Phone: 704-333-9113
Fax: 704-333-9757
Email: Contact Form

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COPYRIGHT © 2021 CHARLOTTE SKIN AND LASER. ALL RIGHTS RESERVED.