Skincare Quiz
Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number (Optional)
Please enter a valid phone number.
Format: (000) 000-0000.
1. What is your age range?
20's
30's
40's
50's+
2. What skincare ritual fits with your lifestyle?
*
Laidback - A ritual that covers the basics
The Works - A ritual that's optimized for results
Quick and Easy - A ritual for on the go
Advanced - A ritual for more sophisticated care
3. What type of skin do you have?
*
Oily - Skin has a noticeable excess oil and shine, may be prone to breakouts
Dry - Skin feels dehydrated or has areas of roughness
Normal - Skin feels balanced with no dry or oily areas
Sensitive - Skin is prone to irritation and redness, reacts easily to harsh actives
No idea
4. What are your skincare goals?
*
Hydrate & Moisturize - Supreme hydration for a healthy, glowing complexion
Soothe & Balance - Reduced redness and irritation for an even complexion
Prevent Signs of Aging - Diminish fine lines, restore skin elasticity, and prevent against future signs of aging
Clear Congested Pores - Reduce excess sebum production and inflammation and relieve congested skin
4. What is your desired level of glow? 1=Lit-from within, 3=Classic Dew, 5=Glass Skin
*
Lit from within
1
2
3
4
Glass Skin
5
1 is Lit from within, 5 is Glass Skin
5. Do you feel confident about how you look and feel?
Yes
No
7. How much time do you spend in front of electronic devices per day?
Less than 1 hour
1-3 hours
3-6 hours
6-10 hours
More than 10 hours
8. Do you experience any of the following medical conditions?
Asthma
Eczema
Allergies
Rosacea
Other
9. 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
10. How do you currently wash your face?
Just water
Water and a foaming cleanser
Water and an oil based cleanser
Other
11. Do you have any current self-care rituals? (i.e. Gua Sha, Yoga, Meditation, Journaling, etc.)
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