1. Default Section

* 1. Age

* 2. What best describes your skin? Check all that apply.
(Facial)

  Large pores Small pores Sensitive skin Pimples Blackheads Acne Scarring Breakouts on jaw line T-Zone breakouts Breakouts all over Fine lines Deep wrinkles Hyper pigmentation (age spots)
Normal
Oily
Dry
Combination
Mature

* 3. What skin care products do you currently use?

* 4. Are you happy with the results your current products are producing?

* 5. What are your skin care goals?
What are you hoping to achieve by using skin care products?

* 6. What are your favorite skin care product ingredients?

* 7. What products have you tried unsuccessfully in the past?

* 8. About how much to you pay for skin care products every month

* 9. If you would like to sign up for my *ONCE A MONTH* "Skin Care FYI" and receive special offers, promotions, discounts and be entered in give-aways, Please enter your name and email address below.
(Your information will NEVER be shared and we will not spam you, you'll only hear from us once a month)

* 10. Enter your email address below if you would like to receive your personal skin care profile and a product recommendation based on your answers.

You will also receive a 10% coupon for your first purchase at bbjayde.etsy.com. No minimum purchase required.

(You will ONLY be emailed the coupon code, you will not receive any other emails from us unless you sign up for the once a month newsletter)

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