Skincare Quiz
Clean fresh ingredients to make you feel good from the inside out!
Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number (Optional)
Please enter a valid phone number.
1. What is your age range?
20's
30's
40's
50's+
2. What is your biggest concern about your skin?
Acne
Pores
Aging
Dark spots
Dullness
Wrinkles
Dark circles
Redness
Acne scarring
Other
3. What type of skin do you have?
Oily
Dry
Combination
Balanced
No idea
4. How much make up do you use per day?
None
A little
A decent amount
Full coverage
5. How often do you feel that your skin is sensitive?
Never
Rarely
Sometimes
Always
6. Do you experience any of the following medical conditions?
Asthma
Eczema
Allergies
Rosacea
None
Other
9. What type of weather do you experience where you live?
Sunny & Tropical
City dweller
Cold winters & mild summers
Dry & hot desert
Cold & dry year-round
10. How much time do you spend to take care of your skin per day?
Less than a minute
A few minutes
Around 5 minutes
More than 7 minutes
Do you exfoliate?
Yes, Once or twice a week
Yes, I use a daily exfoliant
oops I don’t exfoliate
What are you looking to get?
One specific product that would be most effective
A whole new skincare regimen
Just a few goodies
Submit
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