Royalty Remedy Custom Skincare Questionnaire
Please complete this questionnaire to help us design natural, active-ingredient custom products tailored to your skincare needs.
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Email *
 Info - Name *
Please enter your full name.
Info - Age *
Please enter your age.
Info - Email *
Please provide your email address.
Info - Phone (optional) *
Please enter your phone number (optional).
Skin Type *
Select your skin type.
Skin Concerns *
Please check any skin concerns you have.
Required
Product Preferences *
Which types of products are you interested in?
Required
Allergies & Sensitivities - Known allergies *
Please list any known allergies.
Allergies & Sensitivities - Ingredient sensitivities *
Do you have any ingredient sensitivities?
Required
Medical Considerations - Medications affecting skin *
Please list any medications that affect your skin.
Medical Considerations - Pregnant or breastfeeding? *
Are you currently pregnant or breastfeeding?
Medical Considerations - Skin conditions *
Do you have any specific skin conditions?
Required
Lifestyle & Goals - Do you spend a lot of time in the sun?
Do you frequently spend time in the sun?
Clear selection
Lifestyle & Goals - Do you wear makeup daily?
Do you wear makeup on a daily basis?
Clear selection
Lifestyle & Goals - Top 3 skin goals *
Please share your top 3 skin goals.
Preferences - Do you prefer fragrance-free products? *
Do you prefer products without fragrance?
Preferences - Texture preference *
What type of product texture do you prefer?
Final Notes
Feel free to share any other comments or information.
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