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Questionnaire

Please complete the form below for a free personal recommendation

Name
Email
Age Group
Number of times you exercise
Do you consider your diet
Hours per day on computer
Your Current Skincare Routine
	Yes/No	Product Name
Cleanser
Toner
Moisturiser
Eye Make-up Remover
Eye Serum
Eye Cream
Exfoliate
Face Mask

Other products used

What brand are your current products?

How long have you being using them?
What skin type are your products for?
What skin type are you.?
Do you experience any of the following?
Dryness	Flaky Skin
High Colour	Tightness
Easily Irritated	Blackheads
Dull / Grey	Excessive Oil
First Lines	Wrinkles
Sagging Skin	Crows Feet

Any other information you consider relevant, please be as detailed as possible.?