Skin hair care products questionnaire
Name and Surname: Click here to enter text.
Mobile number: Click here to enter text.
Email address: Click here to enter text.
What is your gender? Choose an item.
What is your age group? Choose an item.
Which race / ethnicity best describes you? Choose an item.
How would you describe your skin type? (Check all that applies)
Dry ☐
Normal ☐
Oily ☐
Oily with acne ☐
Combination ☐
Sensitive ☐
+ Dehydrated ☐
Which products do you use in your regular daily skin care routine? (Check all that applies)
Face wash (cleanser) ☐
Face Toner ☐
Face and Neck serum ☐
Moisturizer ☐
Eye cream/serum ☐
Sunscreen ☐
Makeup remover ☐
Which type of face care products are you using? (Check all that applies)
Day Cream ☐ Face Toner ☐
Night Cream ☐ Makeup remover ☐
Face and Neck Serum ☐ Face wash ☐
Eye Serum ☐ Lip Balm ☐
Face Scrub/exfoliator ☐
Which type of body care products are you using? (Check all that applies)
Hard Soap ☐ Body Scrub ☐
Liquid Soap ☐ Sun Care / Sun Protection ☐
Body Lotion ☐ Hand Cream ☐
Body Butter ☐ Foot Cream ☐
Body Oil ☐
How would you describe your hair? (Check all that applies)
Dry ☐
Normal ☐
Oily ☐
Oily with dry ends ☐
With dandruff ☐
Which type of hair care products are you using? (Check all that applies)
Shampoo (regular) ☐
Shampoo (medicated) ☐
Conditioner ☐
Pre-wash moisturizer ☐
Oil for split ends ☐
Hair spray ☐
Styling gel ☐
How often do you wash your hair? (Check all that applies)
Daily ☐
3 times a week ☐
2 times a week ☐
Once a week ☐
Less than once a week ☐
Any known allergies? Choose an item.
if “Yes” please specify: Click here to enter text.
What are your favourite essential oil fragrances? (Check all that applies)
Lavender ☐ Patchouli ☐
Rose ☐ Frankincense ☐
Rosemary ☐ Lemon ☐
Neroli (Orange flowers) ☐ Orange ☐
Coconut ☐ Vanilla ☐
Tea tree ☐ Palmarosa ☐
other (specify): Click here to enter text.
Are you willing to try handmade natural/organic skin hair care products? Choose an item.
Thank you for taking the time to complete this survey 2/2