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1
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2
Full Name
First Name
Last Name
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3
How would you describe your skin type?
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Oily
Dry
Combination
Normal
Sensitive
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4
What is your main skin concern?
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Dullness
Acne or blemishes
Redness or sensitivity
Uneven texture
Fine lines or wrinkles
Other
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5
How often do you use skincare products?
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Daily
A few times a week
Occasionally
Rarely
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6
What is your preferred finish for your skin?
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Dewy and luminous
Matte and smooth
Natural and balanced
Radiant and glowing
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7
Are you interested in receiving personalized product recommendations?
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Yes
No
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8
Email Address (for quiz results)
example@example.com
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9
Mobile Number
Please enter a valid phone number.
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10
What are you tanning for?
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11
Appointment Location
Please Select
At our studio
At my home
At my workplace
Please Select
Please Select
At our studio
At my home
At my workplace
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12
Where?
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13
If you received a scratch-off, what did it reveal?
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14
Current Tanning Experience Level
Please Select
Beginner
Intermediate
Advanced
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Please Select
Beginner
Intermediate
Advanced
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15
Do you have a residential Glow Code?
Yes
No
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16
Enter Residential Glow Code
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17
Are you planning a roomie glow night?
Yes
No
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18
Number of Tans Needed
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19
Skin Undertone
Please Select
Cool
Neutral
Warm
Olive
Not sure
Please Select
Please Select
Cool
Neutral
Warm
Olive
Not sure
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20
Glow Goal
Please Select
Light glow
Medium glow
Deep glow
Custom bronzed look
Please Select
Please Select
Light glow
Medium glow
Deep glow
Custom bronzed look
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21
Preferred Appointment Time of Day
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Morning
Afternoon
Evening
No preference
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Morning
Afternoon
Evening
No preference
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22
What day/time works best for you?
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Minutes
AM
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PM
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23
Are you interested in joining ATX Tans ambassador glow team?
Yes
No
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24
Anything else you’d like us to know?
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25
Consent to Receive Quiz Results
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