JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Skin Quiz
Hey gorgeous! Thank you for taking a quick minute to fill this out!
Please be as specific as possible and be sure to provide any important info at the bottom. :)
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Phone Number (*quickest response time)
Your answer
My skin is...
*
dry
oily
combination
sensitive
Required
Do you have sun damage?
*
yes
no
not sure
Do you have age spots?
*
yes
no
not sure
Do you have..
*
dry skin
oily skin
combination skin
sensitive skin
sun spots
fine lines
wrinkles
loose or baggy skin
acne
large pores
skin tone discoloration
dark circles
puffiness under eyes
Required
What don't you like about your skin?
*
Your answer
What are your skin goals?
*
Your answer
What products are you using now?
*
Your answer
Please list your allergies if you have any.
Your answer
What is your price range?
*
under $100 (you may have to pay shipping)
$100 - $150
$150 - $200
$200 - $250
$250 +
Any other information I should know?
Your answer
Submit
Page 1 of 1
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
