Menopausal Skincare Survey Form
Help us understand your skincare needs and experiences during menopause by completing this survey.
Which of the following skin concerns have you experienced during menopause? (Select all that apply)
*
Dryness
Increased sensitivity
Redness or flushing
Loss of firmness
Fine lines or wrinkles
Acne or breakouts
Uneven skin tone
Other
How often do you experience menopausal skin symptoms?
*
Daily
A few times a week
Once a week
Rarely
Never
Please rate the severity of your menopausal skin concerns.
*
Not severe
1
2
3
4
Very severe
5
1 is Not severe, 5 is Very severe
How satisfied are you with your current skincare routine?
*
1
2
3
4
5
Which types of skincare products do you currently use? (Select all that apply)
*
Cleanser
Moisturizer
Serum
Sunscreen
Eye cream
Face oil
Exfoliant
Other
How important are the following product attributes to you?
*
Rows
Very important
Somewhat important
Not important
Fragrance-free
1
2
3
Hypoallergenic
4
5
6
Natural ingredients
7
8
9
Anti-aging
10
11
12
Hydrating
13
14
15
Non-comedogenic
16
17
18
Do you have any known skin sensitivities or allergies?
*
Yes
No
Not sure
What is your primary goal for your menopausal skincare routine?
*
Reduce dryness
Soothe sensitivity
Improve firmness
Even skin tone
Reduce appearance of wrinkles
Other
How effective do you feel your current skincare products are in addressing your menopausal skin concerns?
*
Not effective
1
2
3
4
Very effective
5
1 is Not effective, 5 is Very effective
Please share any additional comments or suggestions about your menopausal skincare experience.
Submit Survey
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