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Kayuraa Personalized Skincare Questionnaire
First Name
Last Name
Email
Which area do you want to focus on most?
- Select -
Face only
Face + Neck
Whole body (skin on body too)
How does your skin usually feel throughout the day when you don’t apply anything?
- Select -
Dry or tight
Oily or shiny
Balanced and comfortable
Sensitive or easily irritated
A mix (different on face/body)
What is your main skin concern right now? (Pick one or two)
Breakouts or acne
Dryness or rough patches
Dullness or uneven tone
Redness or sensitivity
Signs of aging (fine lines, wrinkles)
Pigmented lips
Dark Spots
How much time would you like to spend on your skincare ritual daily?
- Select -
Just a few minutes, quick and simple
5 to 10 minutes, basic ritual
More than 10 minutes, detailed routine
Which location best describes where you live? Please mention your city or state to help us recommend the best products based on your climate.
Are you interested in gentle wellness tips like breathwork, meditation, or nutrition advice to help your skin glow from inside?
Yes, I’d love that!
Maybe, I’m curious
No, I’m just focused on products
Which area would you most like to heal, soothe, or care for right now? (You can select more than one)
My lips
My face
My heels or feet
My elbows or joints
My hands
My full body
How would you describe your current pace or energy lately?
- Select -
I feel tired or overwhelmed most days, I need something simple
I’m slowly getting back to taking care of myself
I feel balanced and open to deeper rituals
It changes some days I’m mindful, some days I’m not
Optional: If you have any special skin concerns or preferences that you’d like us to know, please share below:
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