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The Art of Healthy Skin
We'd love to get to know you a little better!!! Your interests, concerns, and preferences! Answering these questions as thoroughly and honestly as possible will help us ensure that we are able to match you with the products most likely to fit your needs!
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* Indicates required question
Email
*
Your email
First Name
*
Your answer
Last Name
*
Your answer
How did you hear about Jordan Essentials with Amy??
*
Choose
Facebook Advertisement
Heard it from a friend
Tripped on it by accident!
Search Engine
Blog
Other
Name of person/site who referred you
Your answer
If you'd like to be a part of our Birthday Club and receive a special gift at that time, please list your birthday below.
Your answer
Please indicate your gender
*
Female
Male
Prefer not to say
Other:
Phone Number (Including Area Code)
*
Your answer
What best describes your current skincare regimen?
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Basic (I.E. Cleanser, moisturizer)
Semi-basic (I.E. cleanser, moisturizer, targeted treatment product)
Advanced (I.E. Cleanser, Moisturizer, Eye Cream, Night Cream, Serum, Exfoliator, and/or peal etc)
What products do you use on a regular basis?
*
Cleanser
Eye Makeup Remover
Toner
Facial Exfoliator
Moisturize
Nighttime Moisturizer
Eye Cream
Serum
Facial Peels
Facial Masks
Acne Treatments
Angi-Aging
Essential Oils
Body Wash
Natural Deodorant
Natural Shampoo/Conditioner
Glycerin Soap
Hand Sanitizer
Bath Bombs
Other:
Required
Where do you normally purchase beauty products?
*
Specialty stores (Sephora, Ulta, Skinstore, etc.)
Specialty store websites
Department stores (Macy's, Nordstrom, etc.)
Department store websites
Mass merchandiser (Target, Walmart, etc.)
Drugstore (CVS, Walgreens, etc.)
Amazon.com
Dermatologist's office
Other:
Required
Do you have any of the following skin concerns?
*
Dryness
Oiliness
Combination Skin
Acne
Fine Lines & Wrinkles
Sagging Skin/Loss of Elasticity
Dark Circles
Puffiness
Rough Skin Texture
Uneven Skin Ton/Blotchiness
Redness/Rosacia
Sensitive Skin
Eczema/Psoriasis
Other:
Required
What interests you the most? (you can pick more than one!)
*
Therapeutic Lotions
Pain Relief
Magnesium Products
Essential Oils
Bath & Body
Face Care
Anti-Aging
Mineral Makeup
Making Money with Jordan Essentials
Other:
Required
Please let me know if you've tried Jordan Essentials Products before!
*
Your answer
Would you like to view our virtual catalog to learn a little more about what we offer?
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Yes
No
Anything Else you'd like me to know about you!
*
Your answer
Thank you SO MUCH for filling out this survey! I will be in touch with you soon!! In the meantime feel free to check out my Business page and Blog at
www.maglady.com
&
www.theartofhealthyskin.com
Send me a copy of my responses.
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