Omi - Skincare Survey
We want Omi to become the trusted community to help people through their skincare and health and wellness journey. We would appreciate if you could fill out this survey for our customer research.

With the start of of Black History Month and Lunar New Year, as a thank you for the completion of the survey, we would like to donate $5 on your behalf to one of the following philanthropic organizations:

Black History Month:
- Black Girls Code: blackgirlscode.com -  Technology education for African-American girls
- Police Scorecard: policescorecard.org - Most comprehensive database & analysis of policing in the United States created by Samuel Sinyangwe

Lunar New Year:
- Asian Americans Advancing Justice: advancingjustice-aajc.org - Fighting for civil rights and empowering Asian Americans
- Heart of Dinner: heartofdinner.org - Combat food insecurity and isolation within NYC's elderly Asian American community

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Email *
What's your name? *
How old are you? *
What is your gender? *
What's your race/ethnicity? *
Required
Where do you get your skincare advice from? (Select all that apply) *
Required
How knowledgeable are you about skincare products and ingredients? *
What do you do to address your skincare concerns (e.g. dark spots, acne, wrinkles)? (Select all that apply) *
Required
Do you care about improving your skincare routine? *
Omi is launching our online chatroom this month. We will feature the ability to ask our resident dermatologist your individual questions around wrinkle prevention and skincare. Would you be interested in signing up for our beta launch? If you select yes, we will reach out to your email provided with additional details of the launch. *
Select which organization you'd like to donate to, otherwise we will select one at random:
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Anything else you would like to add?
We will increase the donation to $10 if you do a 20 minute call with us regarding aging and your skincare routine. If you're interested, please provide your name, phone number and best times to reach you.
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