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Surveys
2016
December
T
Tropical Application Product
Tropical Application Product
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Contact Information
*
First Name
:
*
Last Name
:
*
Phone
:
*
Email Address
:
*
Age
*
Any present illnesses
*
Do you suffer from any of the following (Select all that apply)?
Dry Skin
Oily Skin
Shiny Skin with large pores
Acne
Psoriasis
Rash
*
Which of the following skin care products do you use at least once a week?
(Select all that apply)?
Body lotion or moisturizer
Body powder
Antiperspirant
Sunscreen
Perfume or cologne
Other (please specify)
*
Are you currently using any medication?
*
Have you ever used XYZ Oil?
*
What is the frequency of use?
*
When was the last time you got your blood checked?
*
When choosing makeup products, which of the following factors matter to you (Select all that apply)?
Brand
Salesperson's recommendation
Friend's recommendation
Availability
Quality
Convenience
No testing on animals
Product ingredients
Price
Packaging
Other
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