RIMAN SKINCARE RITUAL QUIZ
Experience The Difference
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Which country do you live in?
*
Canada
United States
Where did you find me?
Facebook
www.cherylwheatleycollective.com
Instagram
Other
Age
*
Teen
20-35
35-50
50-65
65+
How would you describe your skin type?
*
Oily
Dry
Combination
Normal
Sensitive
What challenges do you experience with your skin?
Acne/Breakouts
Cystic Acne
Wrinkles/Fine Lines
Dark Spots/Hyperpigmentation
Redness/Rosacea
Dryness/Dehydration
Oiliness
Enlarged Pores
Sensitivity
Uneven Skin Tone/Texture
Aging
Other(advise in comments below)
What improvements do you wish to achieve?
Clearer skin
Even skin tone
Brighter complexion
Glowing skin
Improved skin texture
Reduction in pore size
Hydrated skin
Skin elasticity
Reduced redness
Other
Do you currently follow a daily skincare routine?
Yes, morning & night
Yes, morning only
Yes, night only
No, I don’t know where to begin
Other
Do you wear makeup?
Yes, every day
Yes, most days
Yes, occasionally
No, I don’t bother
Other
Are you under the care of a dermatologist?
*
Yes
NO
If yes, are you using a prescribed skincare product(s)?
Yes
NO
Do you apply sunscreen on your face daily?
*
Yes
No
Sometimes
Do you have any conditions, allergies or sensitivities to certain ingredients?
*
Yes (if yes, please identify in comments)
No
Additional Comments:
Voice Message Comments:
Submit
Should be Empty: