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* 1. Address

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* 2. How old are you?

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* 3. What ethnicity are you?

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* 4. Are you active on social media?

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* 5. Which social media platforms do you actively utilise on a daily basis?

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* 6. If you have a personal blog, please enter the URL:

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* 7. Do you usually purchase skincare products yourself?

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* 8. Have you heard of Lancôme before?

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* 9. Where did you first hear about Lancôme?

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* 10. Have you ever purchased Lancôme skincare?

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* 11. If yes, please mark the category/categories of Lancôme products you have used before:

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* 12. Where did you purchase these Lancôme products?

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* 13. How long have you been using these Lancôme products for?

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* 14. If you have not purchased Lancôme products before, please specify why not:

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* 15. Which skin care brands aside from Lancôme do you currently use?

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* 16. What do you spend on your beauty regime per month?

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* 17. What are your top three skincare concerns?

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* 18. How sensitive is your skin?

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* 19. What are the top three qualities you look for in skincare products?

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* 20. Have you ever used a serum before?

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* 21. Which three anti-aging skincare products do you use most frequently?

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* 22. Which of these celebrity beauty icons do you relate to the most?

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* 23. Why do you feel you are an ideal candidate to participate in this Lancôme Product Review Club?

* In order to be selected to review Lancôme Génifique, please send a high quality head and shoulders picture of yourself to lancome@beautybulletin.com.  Please include your name and email address in the email.

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