Skin Care Assessment
Thank you for your interest in Jafra Beauty. Take the Personalized Skin Care Assessment below to get recommendations hand picked for you! I will get back to you within 24 hours!!
Name
First Name
Last Name
Email
example@example.com
Phone Number
-
Area Code
Phone Number
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
What is your Skin Type?
Combination
Oily
Dry
Normal
What is your Primary Skin Concern?
Acne
Redness/Inflammation
Wrinkles/Fine Lines
Large Pores
Dark Spots/Discoloration
Dry/Rough Patches
What is your Secondary Skin Concern?
Acne
Redness/Inflammation
Wrinkles/Fine Lines
Large Pores
Dark Spots/Discoloration
Dry/Rough Patches
Do you have Sensitive Skin or any Allergies?
Tell me about your Existing Skin Care Routine:
It doesn't exist
I regularly use 3+ Products in the AM/PM
I use whatever my Monthly Subscriptions Send Me
I have been searching for the right products with no luck
I use Common Brands you can find in the Grocery/Drug Store
Other
If you Answered "Other" Above, Please Explain:
Please Send A Clear Picture With No Makeup On! Send In Natural Lighting With No Shadows Please!!!
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And The Date You Filled This Form Out!!
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Month
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Day
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