Skincare Quiz
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Step
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of
9
11%
I am…
Male
Female
Prefer Not to Say
I'm in my…
20’s
30’s
40’s
50’s
What are your main skin concerns? Check all that apply.
Select all that apply.
Acne
Aging & Wrinkles
Sun Damage
Dull or Rough Texture
Scarring
Sensitivity
Other
My skin currently feels…
Select all that apply.
Oily
Dry
Not Sure
Which of these describes your current skincare routine?
I have a basic skincare routine for morning OR evening
I have a basic skincare routine for morning AND evening
I have an in-depth skincare routine for morning and evening.
I shower… most days.
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Have you received any other aesthetic treatment? – DEPRECATED
Yes
No
Have you received any other aesthetic treatment?
Yes
No
Are you interested in skincare products and/or aesthetic treatments?
I’m just interested in skincare products.
I’m only interested in your aesthetic treatments.
I want it all! Bring on the wisdom. I’m here for both!
How would you like to be contacted?
*
Call
Text
Email
All
Let’s keep in touch!
First Name
*
Last Name
*
Phone
*
Email
*
Outreach Acknowledgement
*
By clicking “Submit”, I acknowledge that Beauty Culture Spa will use the information above to contact me through phone, email, and/or text.
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