Skin Survey Form 皮膚問卷調查
Name/Instagram Nane 姓名
*
Phone 電話號碼
*
City 居住城市
*
Occupation 工作行業
Age 年齡
Are you encountering any skin problem ？目前有任何皮膚上的問題嗎？
Do you want to upgrade your skin condition? 想要提升皮膚膚質嗎？
Please What is your skin type?請問您的皮膚性質？
Dry skin 乾性肌
Oily skin 油性肌膚
Combination skin 混合性肌膚
Sensitive skin 敏感性肌膚
Please What are your skin concern？請問您目前面對什麼樣的皮膚困擾？
Large Pores 毛孔粗大
Acne Skin 痘痘肌膚
Sensitive skin 敏感肌膚
Dullness 暗沈肌膚
Acne Scar 痘疤
Spot 斑
Others 其他
Others 其他
Please Which skin products you’re using now ?請問目前使用什麼護膚品？
How much do you spend on skin care products a month? 請問您一個月在護膚品上大概花多少錢？
Are you keen to upgrade your skin condition within 3 months？想要在3個月內改善您目前的皮膚問題嗎？
Submit 提交
Should be Empty: