RootMap

Rosacea Root-Cause Assessment

This assessment helps me understand the full picture — not just your skin, but the systems driving it. Take your time. There are no wrong answers.

Liza Jackson, MS, Licensed Nutritionist

Your full name

Your email address

Section 1 of 7

Skin History

When did your rosacea first appear? What was happening in your life at that time?

Treatments tried — select all that apply

Topical creams or prescriptions Oral antibiotics Laser or IPL Other

Other skin issues — select all that apply

Eczema Acne Dryness Increased sensitivity

Current daily skincare routine

Section 2 of 7

Gut & Digestion

Bloating, gas, reflux, or discomfort after eating?

Bowel patterns

Constipation (less than daily) Loose stools or frequent Alternating (both) Normal and regular

Food sensitivities or intolerances

History of antibiotic use, especially long-term for skin

H. pylori or SIBO testing history

Alcohol intake — type and frequency

Section 3 of 7

Hormones & Cycle

Hormonal status

Changes in cycle regularity, flow, or PMS symptoms

HRT or birth control — current or past

Hot flashes, night sweats, or flushing unrelated to typical rosacea triggers?

Thyroid labs or diagnosis

Section 4 of 7

Stress & Nervous System

Current stress level

1 = Very low 10 = Extremely high

Primary stress sources

Sleep quality — check any that apply

Trouble falling asleep Waking during the night Not waking rested

History of anxiety, depression, or mood shifts

Physical stress responses — select all that apply

Jaw clenching or tension Facial flushing GI symptoms Other

Significant life stress or trauma? No details required — this is just yes or no.

Section 5 of 7

Metabolism & Inflammation

Energy patterns throughout the day

Blood sugar symptoms — select all that apply

Energy crashes (especially after meals) Sugar or carb cravings Shakiness or irritability between meals

Joint pain, stiffness, or body-wide inflammation?

Recent labs available — check any you have

Autoimmune history — personal or family

Section 6 of 7

Diet & Lifestyle

Typical daily eating pattern — meals and timing

Daily water intake

Caffeine — type and amount

Current supplements

Exercise type and frequency

Sun exposure and SPF habits

Section 7 of 7

Timeline

When did you last feel truly well — skin, energy, digestion, all of it?

Major events in the 6–12 months before your rosacea appeared or worsened Illness, medication changes, significant stress, pregnancy, surgery, relocation, major life events.

Gut issues or antibiotic use before skin changes began?