Adaya VIP Product Testing Community 
Welcome to our Product Testing Survey Intake Form! We appreciate your willingness to participate and receive FREE beauty products in exchange for sharing feedback with us. After filling out this form, we'll find a product that suits you for testing. Once we've got the right match, your testing adventure begins!
Email *
First & Last Name
Age
Gender
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What region of the country do you live in?
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Are you pregnant or nursing?
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What's Your Fitzpatrick Skin; How does your skin respond to the sun? 
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Which closely matches your hair type/curl pattern?
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Chronic skin conditions (check all that apply)
List any topical prescriptions/medications being used.
Do you have allergies to any skincare ingredients?
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Do you currently use retinol or any retinoids in your skincare routine?
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Have you had an invasive cosmetic procedure in the past 4-6 weeks?

Examples include: Chemical peels, Laser treatments,

and Microneedling.

Non-examples include: dermaplaning, normal

facial routines, and facial extractions.

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Do you wear sunscreen?
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Do you have a daily and nightly skincare routine?
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Do you currently have braids, weave, or wear a wig more than 3-5 a week?
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Do you buy skincare products in stores, or online? (Check all that apply)
Do you frequently experience sun exposure?
Frequent means at least 2 hours a day continuously
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How did you hear about us?  *
Email address *
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