Kiehls Change your skin Challenge Question Title * 1. Please fill out all your details below. Name: * Beauty Bulletin Username: * Address 1: * Address 2: City/Town: * State/Province: * ZIP/Postal Code: * Country: * Email Address: * Phone Number: * Question Title * 2. How old are you? Under 18 18-25 26-30 31-45 Over 45 Question Title * 3. What ethnicity are you? Caucasian Black Indian Asian Coloured Other Question Title * 4. Are you active on social media? Yes No Question Title * 5. Which social media platforms do you access on a daily basis? Facebook Instagram Twitter YouTube I do not use any on a daily basis Other (please specify) Question Title * 6. Do you usually purchase skincare products yourself? Yes No Question Title * 7. Have you heard of Kiehl’s before? Yes No Question Title * 8. Where did you first hear about Kiehl’s? Friends In-store Online Magazine Question Title * 9. Have you ever purchased Kiehl’s skincare? Yes No Question Title * 10. Have you ever used Kiehl’s skincare products? Yes No Question Title * 11. Please mark the categories of Kiehl’s products you have used before? Skincare Hair care Bath & body Makeup Question Title * 12. What do you spend on your beauty regime per month? Less than R500 R500-R999 R1000-R1499 R1500-R1999 R2000-R2500 Over R2500 Question Title * 13. What are your top three skincare concerns? Ageing Enlarged pores Dehydration Dullness Pigmentation Sagging skin Sensitivity Uneven skin tone Wrinkles Question Title * 14. How sensitive is your skin? Non-sensitive Moderately sensitive Ultra-sensitive Question Title * 15. Have you experienced a reaction to cosmetics previously? No If yes, to what? Question Title * 16. What are the top three qualities you look for in skincare products? Anti-aging Anti-dullness Evens skin tone Firming Hydration Lifting Sensitive Question Title * 17. Have you ever used a serum before? Yes No Question Title * 18. Which three anti-aging skincare products do you use most regularly? Cleanser Eye cream Eye serum Facial moisturizer Facial serum Masque Toner Done