スキンケアアンケート

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スキンケアアンケート

What sex are you?*	Click Me to Edit Male Female
How old are you?*	Click Me to Edit
Are you currently?*	Click Me to Edit Fulltime Parttime Self-employment Student Inoccupation
Your marital status.*	Click Me to Edit Single Married(there is a child.) Married(there is no child.)
【Q1】Please select your usual skin care. (Please check all that apply)*	Click Me to Edit Make-up　Remover Facial Wash Lotion Milky lotion Serum Cream Do Nothing Other(please specify)
【Q2】Is there any portion about which you worry with the skin of a face?*	Click Me to Edit Wrinkles freckle・dullness face slack The trouble of the pimple of skin dry skin Nothing Other(please specify)
【Q3】Caused by ultraviolet lights or air conditioning,do you feel that your skin is dry?*	Click Me to Edit Always yes Sometimes yes No Cannot be determined
【Q4】Which is the portion dry with the skin? (Please check all that apply)*	Click Me to Edit Face whole The circumference of eyes The circumference of a mouth Cheek Hand Leg/foot Heel Nothing Other(please specify)
【Q5】What do you think about moisture cream ?*	Click Me to Edit Moisture needed for Necessary to prevent drying I hate the sticky troublesome Don't need Don't know Other(please specify)
【Q6】How much do you use a skin-care product in one month? （The price for an esthetic salon does not contain. ）*	↓Please answer in a Singapore dollar. Click Me to Edit