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What is your age range?
How would you describe your skin type?
Oily (Skin appears shiny & pores are very visible)
Normal (Skin is neither dry, nor oily or sensitive)
Combination (Skin feels dry or normal in areas and oily in other areas such as your T-zone)
Dry (Skin feels dry and tight & pores are invisible)
Sensitive (Skin is delicate & responsive to changes)
What is your main skin concern?
Fine lines & wrinkles
Dullness/lack of radiance
What is your main skin goal?
Bright, radiant skin
Clear, even skin tone
Replenished, hydrated skin
Plump, tight skin
Smooth, refined skin
Do you wear makeup regularly?
Describe your dream skin
Reduced and softened lines
Revitalized under eye area
None of the above
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