Find My Right Fit

1
Name
First Name
Last Name
2
Contact Number / WhatsApp
Area Code
Phone Number
3
Email
example@example.com
4
Birthdate
Date
Year
Month
Day
5
Sex
Male
Female
6
1. What is your Ideal Budget Range?
$35-$60
$60-$100
$100-$200
$200+
I'm not sure what I need
Other
7
2. What would you like your skincare product(s) to help with?Choose all that apply.
Maintain skin that is already doing well
Dryness
Dehydration/ightness
Oiliness
Breakouts
Clogged pores / blackheads
Dark marks / post-breakout marks
Uneven tone
Rough texture
Redness
Sensitivity / irritation
Dull or tired-looking skin
Barrier support
Sun protection
Recovery after travel, poor sleep, illness, heat, stress, etc.
Other
I'm not sure
8
3. How does your skin usually behave?
Comfortable / balanced
Mostly oily
Oily mainly through the T-zone
Mostly dry
Often feels tight / dehydrated
Combination / different in different areas
Easily becomes red or irritated
Changes depending on weather, activity or products
Unsure
9
4. Is your skin experiencing anything different or noticeable right now?
No — it feels normal for me
Breaking out
Dry / tight
Flaky / peeling
Red
Sensitive
Burning / stinging
Itchy
Very oily
Bumpy / congested
Dull / tired-looking
Puffy
Recently reacted to something
Other
10
5. Is there a product, type of product, or ingredient you would like Belizean Gems to recommend, offer, or help you source?
11
6. Are there any skincare ingredients you are especially interested in trying?Choose all that apply
Niacinamide
Retinol
Vitamin C
Salicylic acid
Ceramides
Azelaic acid
Peptides
Centella
Collagen
Plant Stem Cells
Bone Marrow Stem Cells
Antioxidants
12
7. Do you have any known skincare/cosmetic allergies, sensitivities, products you've reacted badly to, or products you've tried that simply did not work well for you?If none or you haven't used many skincare products before, simply write “None.”
13
8. How often do you use sunscreen?
Every day
Most days
Sometimes
Rarely
Never
14
9. What matters to you when choosing a skincare product?Choose all that apply.
Lightweight
Rich / moisturizing
Matte finish
Natural finish
Dewy finish
No white cast
Non-greasy
Non-sticky
Low / no fragrance
Works well under makeup
Does not pill
Quick / easy to use
Easy to reapply
Vegan
Cruelty-free
As natural as possible
No strong preference
Other
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