Jody's Skincare Quiz
Name
First Name
Last Name
Email Address
example@example.com
Phone Number
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 is your biggest concern about your skin?
Acne
Pores
Aging
Dark spots
Dullness
Wrinkles
Dark circles
Redness
Other
3. What type of skin do you have?
Oily
Dry
Combination
Balanced
No idea
4. How much make up do you use per day?
None
A little
A decent amount
Full coverage
5. How often do you feel that your skin is sensitive?
Never
Rarely
Sometimes
Always
6. Do you feel stressed about how you look and feel?
Yes
No
8. Do you experience any of the following medical conditions?
Asthma
Eczema
Allergies
Rosacea
Other
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
9. What type of weather do you experience where you live?
Cold winters & hot summers
Humid and warm year yound
Cold and dry most of the year
10. 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
11. How do you wash your face?
Just water
Water and a foaming cleanser
Water and an oil based cleanser
Other
Submit
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