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Skincare Assessment
Please submit feedback regarding your skincare and problems you may face.
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* Indicates required question
Name
*
Your answer
How would you describe your skin?
Dry
Oily
Combination
Sensitive
Other
Options
Dry
Oily
Combination
Sensitive
Other
Options
What products do you use?
Daily
Weekly
Monthly
Rarely
Never
Moisturizer
Cleanser
Body Lotion
Eye Cream
Masks
Sun Care
Lip Treatments
Daily
Weekly
Monthly
Rarely
Never
Moisturizer
Cleanser
Body Lotion
Eye Cream
Masks
Sun Care
Lip Treatments
Clear selection
What brands or products do you like the most?
Your answer
What qualities do you look for most in skincare products?
Your answer
If given the choice, do you prefer products with lids or nozzles?
Lids
Nozzles
Clear selection
What are common problems you have with skincare products?
Your answer
Do you have any freckles?
*
Yes, a lot
Yes, a few
No
Email
*
Your answer
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