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How old are you?
Under 20
21-30
31-40
41-45
45+
What is your skin type?
Oily
Dry
Combination
Normal
Don't Know
What is your gender?
Male
Female
Do you face any of the following facial hair issues?
Brittle hair
Dry / flaky skin
Dandruff
Uneven patches
Other
Please Specify:
What are your skin concerns?
Acne
Dryness
Redness
Wrinkles
Pigmentation
Dullness
Puffiness around eyes
Dark circles
Crow's feet around eyes
Sunburn/tan
Scars
Other
Please Specify:
What is/are your concerns when choosing a skin product?
It will lead to skin breaking out
It will not be suitable for your skin type
It will make your skin sting
It will trigger blemishes
It will not benefit you and the money will be wasted
Other
Please Specify:
How often do you breakout?
Weekly
Monthly
Rarely
After trying out new product
Only in T Zone
Sometimes, but not regularly
How does it feel when you touch your skin?
Oily in places, dry in others
Rough and scaly
Irritated
Slick and greasy
Other
Please Specify:
Do you have sensitive or easily irritated skin?
Yes
No
Don't know
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