MPL Skin Quiz

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?
8. Do you have a current skincare routine?
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?
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...
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