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* 1. What are your skin concerns? (Select all that apply.)

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* 2. Do you have any of these habits? (Select all that apply.)

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* 3. How much time do you spend on your skincare routine?

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* 4. How important is it to you to walk out of the house looking like you have perfect skin? (Choose one.)

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* 5. Which of these skin sins do you knowingly commit? (Select all that apply.)

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* 6. Would you _________ to have perfect skin? (Select all that apply.)

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* 7. Be honest: Do you actually apply sunscreen daily?

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* 8. If you have dry skin, what’s the most desperate thing you’ve done to deal with it? (Select all that apply.)

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* 9. If you have oily skin, what have you done to deal with it? (Select all that apply.)

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* 10. I skip _______ because it makes me break out. (Choose one.)

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* 11. Ok, and which of the following do you think most helps keep your skin clear? (Choose one.)

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* 12. How much do you worry about wrinkles? (Choose one.)

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* 13. Which best sums up your feelings about cosmetic procedures, like laser treatments, peels, and Botox?

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* 14. Does your skin ever turn red? (Select all that apply.)

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* 15. What do you do to care for your body skin? (Select all that apply.)

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