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Skin Quiz
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14
Questions
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1
Please Put Your Name
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First Name
Last Name
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2
Do you have:
Please answer what fits best about your skin type
Dry Skin
Oily Skin
Combination Skin
Sensitive Skin
Other
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3
Do you have sun damage?
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YES
NO
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4
Do you have age spots?
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YES
NO
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5
Do you have fine lines or wrinkles?
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YES
NO
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6
Do you have acne or big pores?
Please answer what fits you best about your skin
YES
NO
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7
Do you have a discoloration in your skin tone?
Please answer what fits you best about your skin
YES
NO
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8
Do you have dark circles or puffiness under your eyes?
Please answer what fits you best about your skin
YES
NO
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9
Do you have loose of baggy skin
Please answer what fits you best about your skin
YES
NO
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10
What don't you like about your skin?
Please answer this as best as you can and explain how I can help you and your skin
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11
What are your skin goals?
Please answer what you want more out of your skin
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12
What products are you using now?
Please answer this as best as you can so I can see where the problem is at
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13
Email
Please leave your email if you feel comfortable talking on email
example@example.com
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14
Phone Number
Please leave your phone number so I can text you your results
Please enter a valid phone number.
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Skin Quiz
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