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* 1. FULL NAME:

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* 2. BEAUTY BULLETIN USERNAME:

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* 3. ADDRESS (Physical day time address):

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* 4. CITY:

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* 5. EMAIL ADDRESS:

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* 6. CONTACT NUMBER: (cell phone number)

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* 7. YOUR AGE:

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* 8. YOUR RACE:

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* 9. Are you available between 17 April and 4 June 2017 to take part in this project?

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* 10. What word of mouth and project insights are you comfortable doing? (Select as many as you want)

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* 11. What skin care brand are you currently using?

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* 13. How much are you currently spending on your monthly skincare regime?

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* 14. What is your skin type?

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* 15. What are your 2 major skin concerns?

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* 16. What are the TOP 2 qualities you look for in skin care products?

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* 17. How sensitive is your skin?

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* 18. Have you used a serum before?

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* 19. On which of the following social platforms are you currently ACTIVE on? (Check all that apply)

  Very Active Active Rarely Active Not Active at all
Facebook
Twitter
Instagram
YouTube
SnapChat
WhatsApp
WordPress
I am not part of any social platform

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* 21. Enter your social media username (type “none” if not applicable) example: Facebook: @beautybulletin

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* 22. Do you consider yourself a skin care influencer to friends/influencers?

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* 23. If so, then why?

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* 24. What type of influencer are you?

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* 25. Do you prefer:

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* 26. What type of offline group interactions are you likely to take part in?

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* 28. Would you be happy for us to send you WhatsApp messages (broadcast and private, NO groups) during this project to keep up-to-date? Your number will be removed once the project is over. [076 494 2182]

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* 29. USAGE RIGHTS DISCLAIMER
If I am selected to participate in this Word-of-Mouth Review Project I will allow Beauty Bulletin, the brand involved and their advertising/marketing agencies full access to and full usage of all written, photographic or video material that I produce.

In order to increase your chance of being selected as an influencer, we urge you to complete “Connect Your Online Self” on your Beautybulletin.com profile. Log in to www.beautybulletin.com and then click here.

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