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Skin Care Survey
Dear Sir or Madam, please take a few minutes of your time to complete the following questionnaire.
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1
Full Name
Please provide your full name
2
Connect on Instagram
Please share your Instagram username for connecting with us
3
How often do you cleanse your face?
Please select the most appropriate option
Once a day
Twice a day
Three times a day
Less than once a day
4
Rate your current skin condition
Please rate your skin condition on a scale of 1 to 10
5
What is your main skin concern?
Please describe your main skin concern
6
How would you describe your skin type?
Please select the most appropriate option
Dry
Oily
Combination
Normal
Sensitive
7
Are you currently using any skincare products?
Please select Yes or No
Yes
No
8
How many hours of sleep do you get on average per night?
Please indicate the average number of hours of sleep you get per night
9
Do you use sunscreen daily?
Please select Yes or No
Yes
No
10
What is your favorite skincare routine step?
Please select your favorite step in your skincare routine
Cleansing
Toning
Serum
Moisturizing
Sunscreen
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