Skincare Quiz

Your Skincare Survey

Let’s create YOUR PERSONALIZED skincare routine together! Excited to help ~ Hugs, Grace Wright
Are you experiencing any of these skin issues? Check all that apply*

Signs of AgingFine Lines / WrinklesDark SpotsAge SpotsAcneAcne ScarsSensitive SkinAllergies to almost everything
Which do you feel like you are? Check all that apply*

Oily SkinDry SkinCombo SkinOnly Oily as the day goesMoisturizer doesn't soak in
Hair or Body? Check all that apply*

Oily Skin (body)Dry Skin (body)Red Irritations from soapsMoisturizer doesn't soak inItchy ScalpOily Scalp DAILYUnexplainable Hair Loss
Any other concerns not listed? If so, please share?
Which do you feel like you are? Check all that apply*

I Double ClenaseI use a Mask 2x + a weekPrefer Cream Face WashPrefer Gel Face WashPrefer Micellar Water WashI don't Have a Preference on Face WashI don't Use Face Wash - Just Water
What brands do you currently use for skincare?*
What areas of your health or life is the MOST important to improve? (check all that apply)*

Weight loss/GLP-1Gain WeightProtein IntakeHealthy HabitsIntermittent fastingSleepFatigueLow energyImmune systemGut Issues/ HealthStress/AnxietyBrain fog / HeadachesJoint painInflammationSkin IssuesHormone BalancePMSPeriomenopauseMenopauseInjury RecoverySports NutritionPregnancy / Breastfeeding
Health goals you are currently working on ?*
What do you currently take for nutrition?*
What things have you wanted to look into taking for nutritionals?*
If I could help you achieve your goal, what would be the MOST helpful for you? (Check all that apply)*

Cheat SheetsStep by Step guidesTips, Tricks, Tutorials1-1 Coaching"You & a Friend or Two" CoachingRecipesInclude/Eliminate SheetsPersonal ChecklistsApp Tracker
How can I support you ? (Check all that apply)*

I’d love to get recommendations based on my answersI want to create simple, sustainable healthy habitsI want cheat sheets based on my answersPlease invite me to your FREE Healthy Living community
What areas of your life do you want to improve? (Check all that apply!)*

Overall Skin ConditionsOverall WellnessMore Community/FriendshipsExtra Income/Financial StabilityI Would LOVE to Travel!Mindset/Mental healthPersonal Growth and Goal Setting
Instagram profile
Facebook profile
Text Number*
We will send you info you request - no spam here! 😃
Email
Would you like to be added to a mailing list?
What time of the day in the next couple of days would work for a quick follow-up?*

Between 9am to noon.Between noon and 5pmBetween 5pm to 9pm
What time zone are you in?*
Who can we thank for referring you to this survey? (friend, social media, fb group)*
What else should I know about you? *
"I have friends I think would benefit from this survey too - here's their names/numbers, I am sending this link to them too!" (When you do, and they fill it out - I have a gift for you too!)
Name*

First NameLast Name
Here to help you, however I am able - Thank you for trusting me, this really is my passion, as I have lived EVERY STAGE of the journey, MYSELF!
Much Love ~ Grace
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Your Skincare Survey