Your Full Name: *

Email Address: *

Phone Number: *

1. How well do you know your skin type? *
Oily SkinDry SkinSensitive SkinCombinationI don’t know

2. Do you presently have any skin issues and concerns? (Select all that apply)
Acne/breakoutsDark circles/under eye bags/puffinessFine lines/wrinklesHyperpigmentationEczema-proneOther – please specify

Other:

3. Do you currently have a skin care routine? What are you currently using? (Select all that apply)
NoneCleanser/exfoliatorTonerSerums with active ingredientsMoisturizerSunscreenEye creamOther – please specify

Other:

4. In the last two years, have you consulted a dermatologist for your skin conditions?
YesNo

5. What sources do you use to learn about skin care products?
Friends/FamilyFamily doctor/dermatologistInternet searchInfluencers/blog postsTV or radio adsBeauty magazinesStore visits/sales peopleSelf evaluationOther (please specify)

Other:

6. What factors do you consider when choosing skin care? (Select all that apply)
AvailabilityRecommendation from friends or salespersonProduct ingredientsProduct qualityPriceResearch and development (R&D)Other – please specify

Other:

7. Do the following ingredients matter to you in your skin care products? (Select all that apply)
Alcohol-free ingredientsNon comedogenic ingredientsFragrance-freeOil-free ingredientsVegan ingredientsCruelty-free/not tested on animalsOther – please specify

Other:

8. In a typical year, how much do you roughly spend in CAD dollars on skin care products?

9. Are you happy with your current skin condition?
YesNo