Skin Quiz

Name *

First Name

Last Name

Phone

(###)

###

####

What are your top skin concerns? *

Skin texture

Fine lines and wrinkles

Acne

Dullness

Flaky skin

Blackheads

Dark spots

Dark circles/puffiness

Redness

How does your skin feel immediately after cleansing? *

Dry

Oily

Itchy

Tight

Irritated

Balanced

Combination

How often do you break out? *

Rarely

Frequently

Hormonal Breakouts

What type of products are you looking for? *

Treatments and serums

Cleansers

Moisturizers

Full customized routine

How many products do you like to use during your routine? *

Simple (3 steps)

Essentials (4-5 steps)

Advanced (6+ steps)

On average, how many hours are you in front of a computer or phone screen? *

1-2 hours

3-4 hours

5-8+ hours