The High Class Face Care Study

The High Class Face Care Study

Purpose: To discover how effectively our face care line treats different skin types, & to collect data to improve current & future formulations to best address our clients needs.
Participants must be willing to submit progress photos in order to be considered for participation.*

AgreeDisagree
Participants must submit ALL progress photos prompts.*

AgreeDisagree
Are you allergic to coconut?*

YesNo
Full Name*

First NameLast Name
Phone Number*
Email Address*
example@example.com
Address (Will be used to send your sample)*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Individuals living outside of the DMV who want to participate MUST pay $10 for shipping & handling*

YesNoN/A, within DMV area for pick up
Age*
Birth Date*

MonthDayYear
Mm/dd/yyyy
Gender*

FemaleMaleNon-BinaryPrefer not to answer
What are your primary skin concerns? (Choose all that apply)*

AcneSensitive SkinDry skinWrinkles/ signs of agingHyperpigmentation/Dark circlesHigh cell turnover/exfoliation
How would you describe your skin type?*

DrySensitiveCombinationOily
How would you rate the current overall health of your skin on a scale of 1-10?*

1

2

3

4

5

6

7

8

9

10

1 is Worst, 10 is Best
Do you have a skin care routine?*

YesNo
Do you have a self care routine?*

YesNo
What facial care products do you currently use? (Please list all products and brands)*
Do you perform your routine in the morning or evening/night?*

MorningNightBoth
How long have you been using your current skincare products?*
Do you have any diagnosed skin conditions?*

EczemaPsoriasisRosaceaPityriasis RoseaAcneCystic AcneOther
Do you experience changes in your skin's health during seasonal transitions? If yes, please describe the symptom/experience and what season triggers it.*
Upload 2 Before Photos (One side profile photo, one front facing photo, Makeup free bare face against plain white background)*

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