SKIN CARE SURVEY
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Email *
First and Last Name *
Gender *
Age
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Contact Number *
Which do you prefer? *
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My skin is... *
I have... *
Yes
No
sun damage
age spots
fine lines & wrinkles
acne or big pores
discoloration in skin tone
dark circles or puffiness under eyes
loose or baggy skin
What don't you like about your skin? *
What are your skin goals? *
What products are you using now? *
I'm interested in... *
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Are you interested in our other products? *
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