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Skin Quiz 🧖🏼♀️
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What is your full name?
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Your answer
What is your email address?
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Your answer
What is your phone number?
Your answer
What is your Instagram handle?
Your answer
Are you interested in the Anti-Aging skin care line?
*
Very
Maybe later
No thanks
How is your skin currently? (select all that apply)
*
Dry
Sensitive
Oily/Greasy
Normal
Combination
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What skin goals are you looking to achieve?
*
Increase brightness / radiance
Diminish fine lines / wrinkles
Even skin tone
Increase elasticity
Add moisture / hydration
Minimize pores
Lighten dark circles
Reduce puffiness
Reduce age spots
Required
If you would like to provide any other information about your skin please let me know below.
Your answer
Do you want more information on any of the following ...?
*
Rejuveniqe oil (101 different uses)
Eye wonder serum (las / brows)
Hair masque treatment (based off specific hair type)
Men’s skin + hair line ( shave cream, after shave, moisturizer, beard oil, etc..)
Junior line (kids)
CBD line (wellness)
Dog line (gentle cleansing dog wash + deodorizing spray)
No thanks
Required
How did you hear about this offer?
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Instagram
Facebook
Website handle
Referred by a friend (if other, who?)
Other:
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