Skin Quiz
Thank you for taking the time to answer these questions. I am excited to get to know you and your skin. Once you submit your answers, I will recommend a personalized skincare routine using our clinically proven Pomifera products. Please allow up to 24 hours for a response.
Name
First Name
Last Name
Email
example@example.com
1. How would you describe your skin type?
Dry
Neutral/Normal
Combination
Oily/Acne Prone
Unsure
2. After you wash your face, how does it feel? (Select all that apply.)
Tight or Dry
No Particular Sensation
Slight Sheen
Oily
None of the Above
3. How does your skin feel a few hours after using moisturizer?
Dry
Oily
Dry in some areas, oily in others
I don't use a moisturizer
None of the Above
4. What are your skin goals? (Select all the apply.)
Prevention of wrinkles
Better, healthier skin
Combat signs of aging
Address other skin concerns
5. What are your main skin concerns... (Select all that apply.)
Sensitivity
Redness
Fine Lines & Wrinkles
Restore Skin Elasticity
Hyperpigmentation
Acne
Dryness
Other
6. How old are you?
20 or below
21-26
27-33
34-39
40-46
47-54
55-64
65+
7. How often do you wear makeup?
Please Select
Daily
2-3 times a week
Once a week
1-2 times a month
Never
8. Do you have a current skincare routine?
Please Select
Yes
Somewhat
No
9. If you answered "YES" or "SOMEWHAT" to question 8, what does your routine consist of... (Select all that apply.)
Cleanser
Toner
Serum
Sunscreen or Moisturizer with SPF
Moisturizer without SPF or Face Oil
Eye Cream
Retinol or Retin-A
Exfoliant
Makeup Remover
Other
10. Are you looking to replace your current skincare routine?
Please Select
Yes
No
Possibly
11. Are you allergic to any skincare or beauty product ingredients? (If so, list them below.)
12. Are you interested in our body or hair care products?
Yes
No
13. Are you open to learning more about the Pomifera opportunity?
Yes, sign me up!
I would love more information.
Not at this time but possibly in the future.
Not interested.
Questions or comments...
Submit
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