Skincare Quiz

Skin Quiz
Name*

First NameLast Name
Phone Number (Optional)
Please enter a valid phone number.
Email Address *
example@example.com
1. What is your age range?*

Under 1818-2425-3435-4445-5455+
2. What skincare products do you currently use?
3. How do you feel about your current skincare products?

Love them, but am open to adding supplemental productsI like them, but am open to exploring other optionsIndifferentI am not happy with my current products
2. What type of skin do you have?*

NormalOilyDryCombinationNo idea
3. What is your biggest concern about your skin?*

Acne & BlemishesUneven Skintone or DiscolorationSensitivy & Visible RednessDullness or Skin TextureLines & WrinklesMaintain Healthy Skin
4. What is your secondary concern?*

Acne & BlemishesUneven Skintone or DiscolorationSensitivy & Visible RednessDullness or Skin TextureLines & WrinklesMaintain Healthy Skin
4. What best describes your skin tone?*

FairLightMediumOliveLight BrownBrownDeep
5. Do you experience any of the following medical conditions?*

AsthmaEczemaAllergiesRosaceaN/A
6. Is there anything else you'd like to share about your skin?
7. Your scalp is skin too. Are you happy with the health of your hair?*

YesNo
8. How would you describe your scalp?*

Healthy & ComfortableDry, Tight, or ItchyOilyCombinationI Don't Know
9. What's your hair texture?*

StraightWavyCurlyCoily
10. What's the thickness of your hair?*

ThinMediumThick
11. What is your primary hair concern?*

Dry, Frizzy, or Dull HairDamaged Hair, Split Ends, or BreakageFlat or Thin Hair
12. What are your primary goals when styling your hair? (Select all that apply)*

Creating More Volume & BodyCurl DefinitionAdding ShineColor ProtectionSmoothing Out FrizzAdding WavesHeat Protection
13. Is there anything else you'd like to share about your hair?
Should be Empty:

Skin Quiz