Skin Type
Do you have any allergic reactions to any type of chemical, or anything that your skin could react to?
Yes
No
How often does your skin get rashes or burns from things you are unaware of?
Often
Sometimes
Rarely
Never
How often do you experience things like eczema or flaky skin?
Often
Sometimes
Rarely
Never
What would you say your skin type is?
Normal
Oily
Dry
How often do you either go swimming in chlorinated pools, or are in chlorinated areas?
Often
Sometimes
Rarely
Never
On a scale of one to ten, how would you describe your skin's sensitivity? (1 being not sensitive, 10 being sensitive)
1
2
3
4
5
6
7
8
9
10
How bad would you say your skins reactions are?
Horrible
Bad
Handleable
Not bad at all
How long do reactions on your skin last?
A few months
A few weeks
A week or so
A few days
How many products would you say you have reactions to?
Practically all of them
Most of them
Only a few of them
None of them
This is a public survey, would you buy this product for you or your kids?
Yes
No
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