Do you suffer from skin ailments?
YesNo
Have you ever suffered from acne, psoriasis or eczema? If yes, for how long?*
Do you use makeup? YesNo
Do you always take the necessary time to remove your makeup before going to bed? YesNo
What do you use to remove your makeup?
Do you use special products to wash your face? If yes, how often?*
Please rate in order of importance, with 1 being the most important
Do you eat junk food and similar products (which could be classified as such)? If yes, how often? NeverVery rarelyOnce per week at mostA couple of days per weekEvery Day
Do you drink soft drinks and similar products? If yes, how often? NeverVery rarelyOnce per week at mostA couple of days per weekEvery Day
Do you feel like you drink enough water? YesNo
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