1. How would you best describe your skin?
□ My skin is rough, dry or flaky
□ My skin is oily
□ My skin appears older than I’d like
□ My skin is sensitive
□ My skin has no major problems
□ Other
2. Which specific skin issue/s do you have?
□ Existing lines/wrinkles; lack of firmness
□ Breakouts
□ Hyper-pigmentation/discoloration
□ Signs of premature ageing
□ Dullness
□ Clogged pores
□ Other
3. How do you currently care for your skin?
□ Cleanse
□ Tone
□ Serum
□ Moisturise
□ Sunscreen and/or antioxidant protection
□ Eye care
□ Mask
□ Scrub
□ Other
4. Which of the following are of concern to you?
□ Lack of sleep
□ Lack of energy
□ Stress
□ Sun and environmental exposure
□ Using products made with organic ingredients
□ Taking care of my health
□ Other