How old are you?

2/24

How would you describe your skin concerns?

Select all that apply

TightLack of glowAcneShinyEnlarged poresSensitiveBlackheadsRosaceaCouperoseRed bumpsPigmentationFlakeyImpuritiesPimplesReactiveRednessFine linesWrinklesSaggingSensitive eye areaDehydrationOily T-zone

5/24

What’s your main skincare goal?

Reduce breakoutsReduce acne scarsReduce rednessReduce blackheadsReduce fine lines and/or wrinklesBrighten skinReduce oilinessPlump skinReduce hyperpigmentationImprove hydrationTarget drynessImprove texture

6/24

Is there anything you want target around the eye area?

Dark circlesFine lines and wrinklesSaggingUnder eye puffinessDrynessNo

7/24

Do you use one of the following active ingredients in your current skincare routine?

Select all that apply

Vitamine CRetinolRetinoidVitamine AAHABHANiacinamideHyaluronic acidI don't knowNo

8/24

How often do you cleanse your face?

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OccasionallyIn the eveningIn the morningEvery morning and eveningMore than twice dailyNever

9/24

What skincare products do you use at this moment?

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CleanserEssenceTonerSerumDay creamNight creamSunscreenEye creamPeelingMaskOther...

11/24

Where do you live?

—Please choose an option—NatureCityVillage

12/24

Do you experience any irritation on your skin?

Yes, often red and irritated on my cheeksYes, my skin reacts to different productsNo, I don’t experience any irritation

15/24

Do you ever experience breakouts?

OccasionallyOftenBefore or during menstruationAll the timeNo

16/24

How does your skin feel/look throughout the day?

Select all that apply

TightShiny T-zoneRed and irritatedOnly redNormalOilyFlakeyOther...

17/24

I’m looking for a skincare routine that’s:

Very simpleFast and efficientFull optionFull option with extra’s

21/24

Is there anything else we need to know about your skin?

22/24

Do you have any allergies related to skincare products that we should be aware of?

23/24