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Skincare Quiz
Lets find the Chosen Products for Your Skin’s Needs
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1
Name
First Name
Last Name
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2
Phone Number
Please enter a valid phone number.
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3
Email
example@example.com
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4
What is your age range?
teens
20's
30's
40's
50's+
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5
What is your biggest concern about your skin?
Dryness & Dehydration
Sensitivity & Irritation
Dull or Uneven Skin Tone
Large or Clogged Pores
Acne & Blemishes
Fine Lines & Aging
Dark Spots & Hyperpigmentation
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6
What is your biggest concern about your skin?
Acne
Pores
Dullness
Wrinkles
Aging
Hyperpigmentation
Redness
Flaky
Dryness
Other
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7
How would you describe your skin type?
Oily
Dry
Combination
Normal
Sensitive
No idea
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8
Are you focusing on skincare for your face, body, or both?
Face
Body
Both
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9
Share clear, natural-light photo of your skin.
Only if you’re comfortable! ( can input multiple images )
Drag and drop files here
Select files to upload
Max. file size
: 10.6MB
Browse Files
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10
How do you wash your face?
Just water
Water and cleanser
Water and an oil based cleanser
Nothing
Other
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11
How much make up do you use per day?
None
A little
A decent amount
Full coverage
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12
Do you have sensitive skin?
No
Yes
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13
Do you experience any of the following medical conditions?
Asthma
Eczema
Allergies
Rosacea
Psoriasis
Other
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14
How much time do you typically spend on your skincare routine each day?
Including washing your face and showering
Less than 5 minutes
5–10 minutes
10–20 minutes
20–30 minutes
More than 30 minutes
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15
What type of weather are you experiencing where you live?
Your Current Season
Hot and Humid
Hot and Dry
Mild and Comfortable
Cold and Dry
Cold and Wet
Rainy and Damp
Windy and Cool
Sunny and Warm
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16
Water Intake?
less than 2 water bottles
3 water bottles
4 water bottles
more than 5 water bottles
Other
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17
How often do you exercise?
Never
1-2 times a week
3-5 times a week
6-7 times a week
2x times a day
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18
How much time do you spend in front of electronic devices per day?
Trust me this is important
Less than 1 hour
1-3 hours
3-6 hours
6-10 hours
More than 10 hours
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19
How would you like ChosenSkin to contact you with your results?
Text / SMS
Email
Phone Call
Voice Message
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