Help choose the 2014 Healthy Beauty Award winners!

17% of survey complete.
If you’re at least 18 years old, you can enter to test-drive some of the latest hair, skin and makeup products. Once selected (approximately 1,000 testers will be chosen), you’ll receive a sampling of products along with instructions for completing an online tester questionnaire. Complete and submit the information below by Friday, November 22, 2013. You cannot be considered for selection unless all information is submitted. Thank you and good luck! —The editors at SELF

Question Title

* 1. Please provide the following information: