KX Customer Interest Form

KX Customer Interest Form
Name:*

First NameLast Name
Email:*
What University do you / did you attend?*
If you are still enrolled in college, what level degree are you working towards?*

AssociatesBachelorsMastersDoctorate
Do you stay on campus?*

YesNo
Do you have a car?*

YesNo
Age range:*
What is your ethnicity?*
What are the beauty products (i.e lashes, lipliner, lipgloss) you use everyday to get ready?*
What are the hair care products (combs, curl definer, oil) you use everyday to get ready?*
What beauty products do you run out of the most?*
What beauty and hair care products that you keep in your purse?*
Rank Below:

1 - Strongly Disagree

3 - Neutral

5 - Strongly Agree
I prioritize quality when purchasing my beauty and hair care products.*

1

2

3

4

5

1 is Strongly Disagree, 5 is Strongly Agree
I look for the most inexpensive beauty and hair care products when purchasing.*

1

2

3

4

5

1 is Strongly Disagree, 5 is Strongly Agree
Going to get beauty and hair care products feels like a chore.*

1

2

3

4

5

1 is Strongly Disagree, 5 is Strongly Agree
Would you be interested in participating in future Kouture Xpress surveys?*

YesNo
Thank you for considering Kouture Xpress!
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