Questionnaire - Natural Skin Care

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Gender
MaleFemale

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Any particular concern you want us to focus on?
YesNoSpecify:

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Do you see wrinkles when you smile, laugh or frown?
YesNoYes but only in eye areaSpecify:

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How does your skin react to sun exposure without sunscreen?
My skin burnsRarely burnsNever BurnsNot Sure

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Does new skin care makes your skin breakout?
YesNoSometimesNot Sure

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Healthy beautiful skin starts with a flawless skincare ritual

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We will create a custom skincare ritual for you

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Location matters when considering your skin care routine.

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Geographical Location/State

Region 1

"Historical annual average SUN & UV Exposure per day = 1775 - 2,101 J/m2"

Region 2

Historical annual average SUN & UV Exposure per day = >2,101 - 2,348 J/m2

Region 3

"Historical annual average SUN & UV Exposure per day = >2,348 - 2,660 J/m2"

Region 4

"Historical annual average SUN & UV Exposure per day = 2,660 - 3,134 J/m2"

Region 5

"Historical annual average SUN & UV Exposure per day = > 3,138 - 3,850 J/m2"

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Do you prefer your skincare to have?
FragranceLight FragranceNo FragranceI'm ok with anything

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Do you prefer to have a preservative?
YesNoMaybeI'm ok with anything

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Do you wish to participate in our sustainable program to help the environment and get 20% discount?
YesNoMaybeNeed more info:

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How would you like to receive our recommendation and additional information?

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Saint Cruz – 21 Point Self Help To a Natural Skin Care Routine