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Skin Quiz
Survey Questions
Choose the answers that best fit you.
*
1.
First & Last Name
(Required.)
*
2.
What country do you live in?
(Required.)
United States
United Kingdom
Canada
Ireland
Poland
Spain
Lithuania
Other (please specify)
*
3.
What is your skin type?
(Required.)
Dry
Oily
Normal
Combination
Sensitive
I don't know
4.
When it comes to your eyes, what is your biggest concern?
Dryness
Dark circles
Lines & wrinkles
Puffiness
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5.
What is your primary concern for your skin?
(Required.)
Uneven tone
Texture
Oil control
Dryness
Dark spots
Dehydration
Eye care
Pores
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6.
Any secondary concerns?
(Required.)
Uneven tone
Texture
Oil control
Dryness
Dark spots
Dehydration
Eye care
Pores
No other concerns
Other (please specify)
7.
Please list and additional questions or information here.
*
8.
How can I contact you with your results? (Phone number, email, Instagram tag)
(Required.)