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1
My skin is showing signs of: (Select ALL that apply:)
Pigmentation or dark spots
Dryness/flakiness
Fine lines/wrinkles
Scarring
Acne
Other
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2
My pores are most visible: (Select ALL that apply:)
Forehead, nose, chin + cheeks
Forehead, nose, chin
Visibility varies across my face
Not very visible at all
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3
My skin texture is: (Select ALL that apply:)
Normal
Dry
Oily
Combination
Sensitive
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4
My main skin concerns are: (Select ALL that apply:)
Acne + breakouts
Rosacea, eczema, psoriasis
Discoloration + uneven skin tone
Sensitivity + redness
Maintaining balance + skin health
Fine line + signs of aging
Dryness + dullness
Excessive oil production + congestion
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5
Select your age range:
18-24
25-34
35-44
45-54
55-64
65+
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Should be Empty:
Skin Transformation Begins Here
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