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SKIN QUIZ
The Hevinly Skin Quiz
First name
*
Last name
*
Email
*
Phone
1. Concerns about skin? (You can choose more than 1)
A. Wrinkles
B. Dry skin
C. Shaving irritation
D. Enlarged pores
E. Stretch Marks
F. Acne
G. Acne Scars
H. None of the above
Something else
2. Concerns elsewhere?
A. Excessive sweating
B. Leg veins
C. Weight Loss
D. Excess Hair
E. TMJ (grinding of teeth)
F. Thinning hair/Hair loss
G. None of the above
3. What do you notice about your facial skin?
A. My skin is rough or dry
B. My skin is oily in some areas
C. My face is very oily
D. My skin is uncomfortable if i don’t moisturize
E. None of the above
4. What’s been your main skin concern in the past 4 weeks?
A. Dryness and Dehydration
B. Sensitivity & Redness
C. Breakouts and Acne
D. Clogged Pores
E. Nothing in particular
5. How would you describe your skin in “Dryness”?
A. Very Dry
B. Moderately Dry
C. Slightly Dry
D. Not dry at all
6. How would you describe your skin in sensitivity?
A. Very
B. Normal
C. Resilient
7. How would you describe your pores?
A. Uneven & Textured
B. Clogged & Congested
C. Slightly Enlarged
D. Clear & Minimal
8. Is your skin tone uneven?
A. My skin IS uneven & i want to lighten dark areas
B. My skin is even & i have no dark areas
C. My skin is uneven (freckles/dark spots) & i do not want to remove
9. How would you describe your skin in terms of acne?
A. Frequent
B. Occasionally
C. Rarely
D. Almost Never
10. How do you usually spend your day?
A. Indoors with a sedentary lifestyle
B. Mostly indoors with occasional outside activities
C. Spend most of the time outside
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