Skincare Quiz
Whose skin are we talking about?
*
First Name
Last Name
Email Address (Optional)
example@example.com
Where can I send results to?
*
Please enter a valid phone number.
Format: (000) 000-0000.
What is your age range?
20's
30's
40's
50's+
What is your biggest concern about your skin?
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Acne
Pores
Aging
Dark spots
Dullness
Wrinkles
Dark circles
Redness
Other
What type of skin do you have?
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Oily
Dry
Combination
Balanced
No idea
Which of these issues are you most eager to address?
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Sensitivity
Fine lines & Wrinkles
Hyperpigmentation
Dryness
Redness
Acne
Other
Rate you level of concern for this:
*
not concerned
1
2
3
4
5
6
7
8
9
very concerned
10
1 is not concerned, 10 is very concerned
Where on your face is the issue bothering you most?
Do you ever experince any of the following on your face? Check any that apply
*
itchiness
dry/flaky skin
red patches/rosacea
none of the above
Do you use any of these products below?
*
Clay mask
Exfoliant/Scrub
Hydrating or Sheet Mask
None
Other
Are you currently experiencing any skin sensitivities or allergies? If yes, please specify.
How would you rate your level of sun exposure?
*
Very little
1
2
3
4
Lots
5
1 is Very little, 5 is Lots
Rate your skin's GLOW. Does your skin look dull and blah?
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Dull
1
2
3
4
I'm glowing
5
1 is Dull, 5 is I'm glowing
How often you wash your face? No judgement here... just be honest.
*
Morning & Night religiously
at night before bed
Mornings
when I remember
How open are you to trying new products? Pick one.
Very open if I get results
Somewhat open
I'm scared to switch
What I use already has me glowing & 100% confident
Other
Rate the skin care products you currently use...
Rows
Not Satisfied
Somewhat Satisfied
Satisfied
Very Satisfied
Cleanser
Scrub/Exfoliants
Serum
Eye Cream
Day Cream
Night Cream
Sunscreen
Rate the skin care products you currently use...
*
Rows
Not Satisfied
Somewhat Satisfied
Satisfied
Very Satisfied
Cleanser
Scrub/Exfoliants
Serum
Eye Cream
Day Cream
Night Cream
Sunscreen
We're almost done. I promise.
The more I know the better I can customize my recommendations for you.
How about your skin from the neck down? Any problem areas on the rest of your body? Dryness? Excema? Rash? Stretch marks? Type NONE if you're good to go!
How much water do you drink daily?
I should drink more water
1
2
3
4
Livin that Chug Life
5
1 is I should drink more water, 5 is Livin that Chug Life
On a scale of 1-5, how important is it to you that your skin care is sustainably sourced & ethically manufactured?
Not important
1
2
3
4
Very important
5
1 is Not important, 5 is Very important
How did you find this quiz?
*
Facebook
Instagram
My Social Mag
Referral
I agree by checking this box I give Tia Trent permission to send me her recommendations for loving the skin I'm in.
Remember, you are a masterpiece, beautifully created and deserving of self-care. Embrace your unique beauty -inside and out- as you embark on pursuing your best skin.
Let your radiant glow be a testament to the incredible person you are inside and out.
Blessings, Tia
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