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. Completion of this survey serves as voluntary consent to the following: All participants agree to pay $7 shipping fee All participants agree to submit follow up surveys All participants agree to submit ALL progress photo prompts to be considered for participation (photos will be enlarged to highlight results and protect identity).
Are you allergic to coconut?
*
Yes
No
Full Name
*
First Name
Last Name
Phone Number
*
Email Address
*
example@example.com
Age
*
Birth Date
*
/
Month
/
Day
Year
Mm/dd/yyyy
Gender
*
Female
Male
Non-Binary
Prefer not to answer
What are your primary skin concerns? (Choose all that apply)
*
High cell turnover/exfoliation
Aging
Hyper-pigmentation
Sensitive Skin
Dry Skin
Scarring
How would you describe your skin type?
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Dry
Sensitive
Combination
Oily
Do you have any diagnosed skin conditions?
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Eczema
Psoriasis
Rosacea
Pityriasis Rosea
Acne
Cystic Acne
Keratosis Pilaris
Other
How would you rate the current overall health of your skin on a scale of 1-10?
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Worst
1
2
3
4
5
6
7
8
9
Best
10
1 is Worst, 10 is Best
Do you have a skin care routine?
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Yes
No
Do you perform your routine in the morning or evening/night?
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Morning
Night
Both
Every Other Morning/Night
What facial care products do you currently use? (Please list all products and brands in the following format: brand name, product type)
*
How long have you been using your current skincare products?
*
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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