New Word of Mouth Review Project Call to Entry Survey Question Title * 1. FULL NAME: Question Title * 2. BEAUTY BULLETIN USERNAME: Question Title * 3. ADDRESS (Physical day time address): Question Title * 4. CITY: Question Title * 5. EMAIL ADDRESS: Question Title * 6. CONTACT NUMBER: (cell phone number) Question Title * 7. YOUR AGE: Under 18 years old 18-24 years old 25-34 years old 35-44 years old 45-49 years old 50 and over Question Title * 8. YOUR RACE: Asian Black Coloured Indian White Other (please specify) Question Title * 9. Are you available between 17 April and 4 June 2017 to take part in this project? Yes No Question Title * 10. What word of mouth and project insights are you comfortable doing? (Select as many as you want) Written reviews Written reviews with photos Video reviews Your own blog posts Social media posts Online group conversations on Beauty Bulletin WhatsApp Broadcast messages throughout project 1-5 posts on all platforms None of the above Question Title * 11. What skin care brand are you currently using? African Extracts Avon Avroy Shlain Clinique Clarins Dermalogica Environ Elizabeth Arden Estee Lauder Garnier Kiehl’s Lancôme L’Oreal Paris Neutrogena Nivea Olay Pond’s None of the above Other (please specify) Question Title * 12. How likely are you to recommend each of these brands based on your knowledge of them to date: How likely on a scale of 1 (Unlikely) to 10 (Very Likely)? African Extracts 0 - Very unlikely 1 2 3 4 5 6 7 8 9 10 - Very likely African Extracts How likely on a scale of 1 (Unlikely) to 10 (Very Likely)? menu Avon 0 - Very unlikely 1 2 3 4 5 6 7 8 9 10 - Very likely Avon How likely on a scale of 1 (Unlikely) to 10 (Very Likely)? menu Avroy Shlain 0 - Very unlikely 1 2 3 4 5 6 7 8 9 10 - Very likely Avroy Shlain How likely on a scale of 1 (Unlikely) to 10 (Very Likely)? menu Clinique 0 - Very unlikely 1 2 3 4 5 6 7 8 9 10 - Very likely Clinique How likely on a scale of 1 (Unlikely) to 10 (Very Likely)? menu Clarins 0 - Very unlikely 1 2 3 4 5 6 7 8 9 10 - Very likely Clarins How likely on a scale of 1 (Unlikely) to 10 (Very Likely)? menu Dermalogica 0 - Very unlikely 1 2 3 4 5 6 7 8 9 10 - Very likely Dermalogica How likely on a scale of 1 (Unlikely) to 10 (Very Likely)? menu Environ 0 - Very unlikely 1 2 3 4 5 6 7 8 9 10 - Very likely Environ How likely on a scale of 1 (Unlikely) to 10 (Very Likely)? menu Elizabeth Arden 0 - Very unlikely 1 2 3 4 5 6 7 8 9 10 - Very likely Elizabeth Arden How likely on a scale of 1 (Unlikely) to 10 (Very Likely)? menu Estee Lauder 0 - Very unlikely 1 2 3 4 5 6 7 8 9 10 - Very likely Estee Lauder How likely on a scale of 1 (Unlikely) to 10 (Very Likely)? menu Garnier 0 - Very unlikely 1 2 3 4 5 6 7 8 9 10 - Very likely Garnier How likely on a scale of 1 (Unlikely) to 10 (Very Likely)? menu Kiehl’s 0 - Very unlikely 1 2 3 4 5 6 7 8 9 10 - Very likely Kiehl’s How likely on a scale of 1 (Unlikely) to 10 (Very Likely)? menu Lancôme 0 - Very unlikely 1 2 3 4 5 6 7 8 9 10 - Very likely Lancôme How likely on a scale of 1 (Unlikely) to 10 (Very Likely)? menu L’Oreal Paris 0 - Very unlikely 1 2 3 4 5 6 7 8 9 10 - Very likely L’Oreal Paris How likely on a scale of 1 (Unlikely) to 10 (Very Likely)? menu Neutrogena 0 - Very unlikely 1 2 3 4 5 6 7 8 9 10 - Very likely Neutrogena How likely on a scale of 1 (Unlikely) to 10 (Very Likely)? menu Nivea 0 - Very unlikely 1 2 3 4 5 6 7 8 9 10 - Very likely Nivea How likely on a scale of 1 (Unlikely) to 10 (Very Likely)? menu Olay 0 - Very unlikely 1 2 3 4 5 6 7 8 9 10 - Very likely Olay How likely on a scale of 1 (Unlikely) to 10 (Very Likely)? menu Pond’s 0 - Very unlikely 1 2 3 4 5 6 7 8 9 10 - Very likely Pond’s How likely on a scale of 1 (Unlikely) to 10 (Very Likely)? menu Question Title * 13. How much are you currently spending on your monthly skincare regime? 0-R100 R101-R200 R201-R300 R301-R400 R401-R500 R501- R700 R701-R800 R801-R1000 R1001-R1500 R1501-R2000 R2001- R2500 R2501-R3000 R3000+ Question Title * 14. What is your skin type? Dry Normal Oily Combination Sensitive Question Title * 15. What are your 2 major skin concerns? Acne Ageing Enlarged pores Congestion Dark spots Dehydration Dullness Imperfections Fine lines Pigmentation Pimples Sensitivity Sun damage Under eye circles Rough texture Uneven skin Tone Wrinkles Question Title * 16. What are the TOP 2 qualities you look for in skin care products? Anti-Ageing Anti-Dullness Even Skin texture Even Skin tone Firming Hydrating Lifting Refines Pores Treats Acne Question Title * 17. How sensitive is your skin? Not sensitive Moderately sensitive Ultra-sensitive Question Title * 18. Have you used a serum before? Yes No Question Title * 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 Facebook Very Active Facebook Active Facebook Rarely Active Facebook Not Active at all Twitter Twitter Very Active Twitter Active Twitter Rarely Active Twitter Not Active at all Instagram Instagram Very Active Instagram Active Instagram Rarely Active Instagram Not Active at all YouTube YouTube Very Active YouTube Active YouTube Rarely Active YouTube Not Active at all SnapChat SnapChat Very Active SnapChat Active SnapChat Rarely Active SnapChat Not Active at all WhatsApp WhatsApp Very Active WhatsApp Active WhatsApp Rarely Active WhatsApp Not Active at all WordPress WordPress Very Active WordPress Active WordPress Rarely Active WordPress Not Active at all I am not part of any social platform I am not part of any social platform Very Active I am not part of any social platform Active I am not part of any social platform Rarely Active I am not part of any social platform Not Active at all Question Title * 20. How many followers do you have per social media account? (select 0 if none) Following Facebook 0 Under 500 500-1000 1000-3000 3000-5000 5000-10000 10000-15000 15000-20000 20000+ Facebook Following menu Twitter 0 Under 500 500-1000 1000-3000 3000-5000 5000-10000 10000-15000 15000-20000 20000+ Twitter Following menu Instagram 0 Under 500 500-1000 1000-3000 3000-5000 5000-10000 10000-15000 15000-20000 20000+ Instagram Following menu YouTube 0 Under 500 500-1000 1000-3000 3000-5000 5000-10000 10000-15000 15000-20000 20000+ YouTube Following menu SnapChat 0 Under 500 500-1000 1000-3000 3000-5000 5000-10000 10000-15000 15000-20000 20000+ SnapChat Following menu Question Title * 21. Enter your social media username (type “none” if not applicable) example: Facebook: @beautybulletin Facebook Twitter Instagram YouTube SnapChat Enter your blog url Question Title * 22. Do you consider yourself a skin care influencer to friends/influencers? Yes, offline Yes, online Yes, both offline and online No I do not Question Title * 23. If so, then why? Question Title * 24. What type of influencer are you? Socialite Professional Hobbyist Celebrity I’m not an influencer I don’t know Other (please specify) Question Title * 25. Do you prefer: One on one conversations Group conversations None of the above Question Title * 26. What type of offline group interactions are you likely to take part in? Girls nights out Mommy/ baby groups Fitness groups Book clubs Parties/dinners Professional clubs Health Clubs Other (please specify) Question Title * 27. How many word of mouth project conversations are you comfortable doing? Conversations One on one face to face conversations 0 1 2 3 4 5 6 7 8 9 10 One on one face to face conversations Conversations menu Group conversations 0 1 2 3 4 5 6 7 8 9 10 Group conversations Conversations menu Question Title * 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] Yes No Question Title * 29. USAGE RIGHTS DISCLAIMERIf 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. Agree Disagree 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. Done