Complete a self-assessment

This interactive Self-Assessment Tool can help your dermatologist better understand your acne and which treatment may be right for you. Complete it, print it and bring it with you to your next appointment. It should only take a few minutes to complete.

If you’re completing this on behalf of your child, it may be helpful to do it together.



Section 1: Acne history


1.
How old are you?
2.
How long have you had acne?
3.
How would you describe your symptoms?
4.
Has it become worse or better over time?
5.
Do you have inflammatory acne (pimples, pustules, cysts and/or nodules)?
6.
Do you have non-inflammatory acne (blackheads and/or whiteheads)?

Next: Section 2: Treatment History



Section 2: Treatment History


1.
Have you tried over-the-counter treatments?
2.
Have over-the-counter treatments been effective?
3.
Have you tried prescription treatments?
4.
Are you currently on a prescription treatment?
5.
Is your current prescription treatment working well?
6.
Have you had skin sensitivity (e.g., itching, burning, stinging) to topical medications in the past?

Next: Section 3: Treatment Needs



Section 3: Treatment needs


1.
Check off the features that you’re looking for in an acne treatment:
Fragrance-free
Topical (gel or cream)
Once-a-day dosing
Can use under makeup or sunscreen
Low irritation
Few synthetic ingredients

Print

Next: Talking to your dermatologist