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1. Are you:
Male
Female
Other / prefer not to say
2. What is your age?
0-25
25-35
36–45
45–55
55–65
over 65
3. What is your morning skincare routine?
I need one
I use some water and soap
I use cleanser and some cream
I do a complete routine (wash, then serum, oil, moisturiser and SPF)
4. How does your skin feel after washing?
Dry and pulling
Soft and bouncy
Depends, can be either of the above
5. Does your skin feel red and sensitive?
Sometimes or never
Usually or always
6. Do you have red spider veins on your skin? (mainly around your nose and cheeks)
Yes
No
7. Tell us what it is that you do not like on your skin?
Large pores
My skin feels blocked
Shine
Dry patches
Fine lines
Broken capillaries
Deep wrinkles
Pigmentation due to sun
Pigmentation due to pregnancy
Sensitivity and redness
8. How many glasses of water per day do you drink?
I don’t drink (almost) any water
One or two glasses per day
Three or more glasses per day
9. Do you do any sports? (cardio and strength)
I don’t do any sports
Yes I do
10. Do you have any relaxation time during your day?
Rarely or never
Often or always
11. How much alcohol do you drink, on average?
Ten glasses per week
More than ten glasses per week
Less than ten glasses per week
12. Does your skin change during menstruation?
Yes, around my chin
Yes, my whole face
Sometimes or never
I do not menstruate (anymore)
13. Do you smoke?
Never
Sometimes
Regularly
14. Any additional information that you would like to share with us?
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