You can always press Enter⏎ to continue
Nicol's Skin Care Questionnaire
Your answers will help me create the perfect skincare regimen for YOU! Beauty Guides, please do not fill this out.
24
Questions
START
1
Hello, what's your name?
*
This field is required.
First Name
Last Name
Previous
Next
Submit
Press
Enter
2
What are your pronouns?
*
This field is required.
I want to be respectful
Previous
Next
Submit
Press
Enter
3
What's your email address?
*
This field is required.
example@example.com
Previous
Next
Submit
Press
Enter
4
What is your cell number?
*
This field is required.
I will not call unless we have agreed upon a time.
Please enter a valid phone number.
Previous
Next
Submit
Press
Enter
5
Would you like to be opt - in for text notifications?
*
This field is required.
I will only do this for special promotions.
YES
NO
Previous
Next
Submit
Press
Enter
6
How many trips have you made around the sun?
*
This field is required.
How old are you?
18 - 24
25-31
32-38
39-44
45-49
50 +
Previous
Next
Submit
Press
Enter
7
Do you have any skin conditions on your face or body?
*
This field is required.
Please select all that apply
Eczema
Psoriasis
Rosacea
Acne
Other
None
Previous
Next
Submit
Press
Enter
8
List your concern here.
Previous
Next
Submit
Press
Enter
9
What is the main concern with your skin?
*
This field is required.
Pick all that applies
Anti Aging
Redness
Acne
Sun Damage/Dark Spots
Under Eye Bags/Dark Circles
Dry Patches
Dull Skin
Black/White Heads
Lines/Wrinkles
Oil Control
Large Pores
Clogged Pores
Other
None
Previous
Next
Submit
Press
Enter
10
What is your skin type?
*
This field is required.
What best describes how your skin feels?
Dry
Oily
Combonation
I don't know
Previous
Next
Submit
Press
Enter
11
Does your skin feel oily during the day?
*
This field is required.
YES
NO
Previous
Next
Submit
Press
Enter
12
Do you experience dryness or tightness?
*
This field is required.
YES
NO
Previous
Next
Submit
Press
Enter
13
Is your skin ever flaky or itchy?
*
This field is required.
YES
NO
Previous
Next
Submit
Press
Enter
14
Do you have a tendency for redness?
*
This field is required.
YES
NO
Previous
Next
Submit
Press
Enter
15
Do you experience acne?
*
This field is required.
YES
NO
Previous
Next
Submit
Press
Enter
16
If you experience acne, how often?
*
This field is required.
Constantly
Monthly
When I Eat Specific Food
Times of Stress
Previous
Next
Submit
Press
Enter
17
What type of products are you currently using on your face?
*
This field is required.
please check all that apply
Soap
Facial Cleanser
Exfoliator
Moisturizer
Toner
Serum
Oil
Eye Cream/Treatment
Mask
None of the above
Other
Previous
Next
Submit
Press
Enter
18
How often to you use your skin care?
*
This field is required.
Please select all that apply
Twice a Day
Once a Day (morning)
Once a Day (evening)
3-5 Times a Week
When I remember
Previous
Next
Submit
Press
Enter
19
What are your skin care concerns?
*
This field is required.
Previous
Next
Submit
Press
Enter
20
What are your skin care goals?
*
This field is required.
Previous
Next
Submit
Press
Enter
21
Do you have a FREE customer account with LimeLife by Alcone?
*
This field is required.
YES
NO
Previous
Next
Submit
Press
Enter
22
Would you like for me to add recommended products to your cart?
*
This field is required.
YES
NO
Previous
Next
Submit
Press
Enter
23
Would you like for me to create an account for you, with the recommended products in your cart?
*
This field is required.
YES
NO
Previous
Next
Submit
Press
Enter
24
If you have any questions, please message me over at Nicol's Beauty Lounge.
Previous
Next
Submit
Press
Enter
Should be Empty:
Nicol's LimeLife Skin Care Quiz
[Edit]
Question Label
1
of
24
See All
Go Back
Submit