Sign up now to get started! First Name Address Last Name City Email Your survey notifications will arrive at this email. We never share your email or contact information. State/Province Postal Code Country Profile Questions Which age group do you belong to? Under 15 15 to 19 20 to 25 26 to 30 31 to 35 36 to 40 41 to 45 46 to 50 51 to 55 56 to 60 61 to 65 66 to 70 71 or over What is your gender? Male Female On average how much do you spend monthly on facial skin care, not including cosmetics or shaving products? Under $5 $5 to $20 $21 to $40 $41 to $60 $61 to $80 $81 to $100 $101 to $120 $121 or more Which do you consider your ethnicity? (Select up to two) Caucasian Native American Hispanic African American Eastern European Western European Arabian Israeli Japanese Korean Chinese South East Asian Polynesian Other Which best describes your skin type? Oily Very Dry Normal to Dry Combination Which best describes your skin sensitivity? 1 - Very sensitive 2 - Somewhat sensitive 3 - Not sensitive Is it common for you to be allergic to skin care products? Yes No Which best describes the climate type where you live? Tropical Humid/warm Temperate Arid Four seasons - Moderately cold winters Four seasons - Very cold winters Which best describes you in relation to acne? Limited acne (1-3 pimples per month) Moderate acne (4 to 15 pimples per month) Heavy (More than 16 pimples per month) Cystic acne (regular large, deep pimples) Which skin care products have you used in the last 12 months? Select any that apply. Retinols Hydroxy acids Whitening actives Muscle relaxant for wrinkles Wrinkle fillers None of these On average, how many different products do you use on your face per day? 0 to 2 3 to 5 5 to 10 11 or more Which best describes the pigmentation of your skin? White, very fair, always burns, never tans White, fair, usually burns, tans with difficulty Cream white, fair, sometimes mild burn, gradually tans Brown, rarely burns, tans with ease Dark brown, very rarely burns, tans with ease Black, never burns, tans very easily Which best describes your face in relation to wrinkles? No wrinkles - Minimal to no discoloration or wrinkling, no keratoses or skin over-growths, generally no need for foundation or makeup. Wrinkles in motion - Wrinkling as skin moves, slight lines near the eyes and mouth, usually a need for some foundation, no visible keratoses. Wrinkles at rest - Visible wrinkles all the time, noticeable discolorations, visible keratoses, generally a need for heavy foundation. Only wrinkles - Wrinkles throughout, yellow or gray hair color, may have had prior skin cancer, makeup not usable because it cakes and cracks. What kind of discoloration do you have on your face? None Slight (few freckles or age spots) Moderate (several freckles or age spots) Heavy (patches of freckles or age spots) Very heavy (covered with freckles or age spots) Have you had any kind of cosmetic surgery in your lifetime? (injections not included) Yes No Which of the following have you had in the past 12 months? Chemical peel (in clinic) Microdermabrasian (in clinic) Laser resurfacing (in clinic) Thermage Cosmetic Injections (relaxants, fillers) Any other cosmetic skin treatment in a clinic None Have you ever had any of the following skin issues on your face, neck or decollette? Rosacea Eczema Psoriasis Skin cancer or pre-cancerous growths Tall or misshapen moles Warts Scars Open wounds (other than acne) None of these Which are your primary skin concerns? Select any that apply. Lines and wrinkles Large pores Discoloration/Hyperpigmentation Rough/bumpy skin Lack of firmness Acne Other What is the most you have ever spent on a single skin care or cosmetic product? $1 to $50 $51 to $100 $101 to $150 $151 to $200 Over $200 Check all the cosmetics you regularly wear. Foundation - liquid Foundation - powder Concealer Finishing powder Blush Eyeshadow Mascara Eyeliner False eye-lashes Lipstick Lip gloss Brow liners/powders Makeup primer None of these Is it ok to send you an SMS notifying you when we have a survey for you? We don't text you for any other purpose. Yes No If yes, what is your cell number including area code? If no, type "NA". What is your household's annual income? Your response is used only as part of a larger group. $30,000 or less $30,001 to $50,000 $50,001 to $70,000 $70,001 to $90,000 $90,001 to $110,000 $110,001 to $130,000 $130,001 to $150,000 $150,001 or more Decline to answer Which best applies to your hair type? Dry Oily Normal Which best applies to your hair curl? Straight Wavy Curly Very curly Which best applies to your hair color? Not color-treated Treated with semi-permanent color Treated with permanent color Which best applies to your hair texture? Fine Medium Coarse Which apply to your hair care? Chemically straightened Permed Extensions None of these Which best applies to your hair thickness? Balding Thin Average thickness Thick Very thick What is the highest level of education you have completed? Some high school High school graduate Some college College graduate or greater Have you ever purchased any environmentally friendly skin-care products? Yes No Do you consider yourself as rarely having acne (less than 1 pimple in the last six months)? Yes No Do you agree to our terms of service? Yes No
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