Skin Care Quiz

Welcome!!!

You are on your way to healthier skin. Let's go!!!
Please fill out all information below so I can contact you with your personal skincare regimen recommendations
Name*

First NameLast Name
Email*
example@example.com
Phone Number
Please enter a valid phone number.
What is the best contact method?
Do you have current skincare routine?
If you answered "yes" or "somewhat" to the question above, what does it consist of?

cleansertonermoisturizerserumeye creamexfoliantOther
Is your skin...

dryoilycombinationsensitiveOther
How does your skin feel a few hours after wearing moisturizer?

dryoilydry in some areas and oily in some areasI don't use moisturizernone of the above
Do you have... (select all that apply)

sun damageage spotsdiscoloration in skin tonerosaceaeczema (face or body)sensitivity
Do you struggle with acne?

yesno
Do you have stretch marks?

yesno
Do you have big pores?

yesno
Do you have... (select all that apply)

puffiness under eyesdark circles
Is your skin dull?

yesno
Do you have... (select all that apply)

baggy skinloose skinfine lineswrinklesdeep set wrinkles
How often do you wear makeup?

DailyEvery once in awhileNever
Are you allergic to anything? (If yes, then list below
To make sure I recommend a regimen that you are 100% satisfied with, what is your budget?

$50-$85$85-$120$120 & updoesn't matter, just need your recommendation
Are you interested in helping your friends and family with their skin and earning extra income by partnering with Pomifera and joining my team?

yes- please!I would like more informationmaybe in the futureI want to try the products firstno, I just want to be loyal customer
Questions or Comments??
Thank You

for trusting me to help you find the best skincare for YOU! You are one click away from having the skin you deserve!
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Welcome!!!

Thank You