Name Email Phone Number What's your age range —Please choose an option—17 or Younger18 - 2930 - 4546 - 6465 or older Gender —Please choose an option—MaleFemale Employment Status —Please choose an option—EmployedUnemployedSelf-employedRetired If employed, what form of employment? —Please choose an option—Full timePart time Are you interested in achieving a healthy skin? —Please choose an option—YesNoIndifferent Do you use natural skin care products? —Please choose an option—YesNo How much do you spend on skin care in a month? —Please choose an option—Below ₦5,000.00₦5,000.00 - ₦15,000.00₦15,000.00 - ₦50,000.00Above ₦50,000.00 What influences your choice of skin care products? Friend's recommendationMagazinesSocial media adsTelevisionBloggersPriceIngredientsBrandsSales person recommendation What is your skin type? —Please choose an option—DryOilyCombinationNormalSensitiveOther What skin issue best describes your skin? (Select all that apply) DryHyperpigmentationAcne prone and oilyWrinklesUneven skin toneRedness and sensitivitySun burnEczemaNone of the aboveOther If others, explain other skin care conditions not listed in details Do you have allergies? (If yes specify in the others section) —Please choose an option—YesNoI don't Know
