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Skin quiz
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* Indicates required question
First & Last name
*
Your answer
What is your Instagram handle?
*
Your answer
Phone number?
*
Your answer
Email address?
*
Your answer
Birthday (for rewards)
*
MM
/
DD
/
YYYY
Skin type?
*
Dry
Oily
Combination
Do you have...
*
Normal skin
Sensitive skin
If you have any allergies to fruits, oils, or citric acids list them here
Your answer
I struggle with... (check all that apply)
*
Age spots
Fine lines & wrinkles
Acne/Blackheads
Large pores
Uneven skin tone / red spots
Dark circles or puffiness under eyes
Required
What products are you currently using?
*
Your answer
What are your skin goals?
Your answer
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