Skincare Survey
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
What is your age group?
*
18-24
25-31
32-38
39-44
45-49
50+
How satisfied are you with your skincare products?
*
1
2
3
4
5
Not Really
Love Them
1 is Not Really, 5 is Love Them
What skin issue(s) would you like to address the MOST?
*
Dry/Flaky
Oily
Texture
Acne/Breakouts
Redness
Aging/Fine Lines
Other
What is your current skincare routine like?
*
AM + PM consistently
AM or PM only
I try on good days!
What routine?
When I apply makeup, I notice that...
*
it looks + feels cakey.
it doesn't stay + feels greasy.
what is makeup?
my skin seems unhappy with it.
Other
When it comes to my skincare, the most important thing is...
*
price. I want my skin + my bank account happy!
results. I just want the products to actually WORK!
simplicity. I don't need a bunch of steps I'll just forget.
formula. I like my products safe + healthy.
Have you ever experienced any of these skin issues on either your face or body?
*
rosacea
eczema
psoriasis
melasma
Do you have any of the following that you would address if there were an option to?
*
stretch marks
scarring
sun damage
loose skin
If you could make one wish for your skincare, what would it be?
Submit
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