Create a Customized Skin Care Product
There are some error(s). Please see each marked section below.
Required Question(s)
1.
What is your email address?
50 character(s) left.
2.
Are you Male or Female?
Female
Female
Male
Male
3.
How old are you?
50 character(s) left.
4.
Which skin issues do you battle with?
Big Problem
Moderate Problem
Mild Problem
Not a Problem at all
Acne
Dry Skin
Oily Skin
Eczema or psoriasis
Chapped or Cracked Skin
Stretch Marks or Scars
Wrinkles or Slack Tissue
Bruises
Cuts
Other - Please Explain
Comment:
150 character(s) left.
5.
Is this for your face or body and hands?
Face
Face
Body and hands
Body and hands
6.
Which types scent appeal to you?
Love
Like
Neutral
Dislike
Floral
Sweet and Heady
Wood
Herb
Citrus
Mint
Spice
7.
List any scents that you particularly enjoy.
Examples:
Allspice Anise Balsam- Peru Basil Benzoin Bergamot Carrot seed Cedarwood Chamomile- German Chamomile-Roman Cinnamon Clove Bud Cypress
Elemi Eucalyptus Fennel Frankincense Geranium Ginger Grapefruit Hyssop Jasmine Juniper Berry Lavender Lavindin Grosso Lemon Lemongrass Lime Litsea (May Chang) Mandarin Moroccan Chamomile Myrrh Myrtle Neroli Nutmeg Oakmoss Orange- Blood Orange- Sweet Oregano Palma Rosa Patchouli Pepper- Black Peppermint Pettigrain
Pine Needle Rose Absolute Rosemary Rosewood Sage-Clary Sage-Garden Sandalwood Spearmint Tangerine Teatree Thyme Vetiver Ylang Ylang
350 character(s) left.
8.
List any scents which you either dislike or are allergic to.
350 character(s) left.
9.
Check any of the below conditions you have.
Pregnant or Nursing
Pregnant or Nursing
High Blood Pressure
High Blood Pressure
Low Blood Pressure
Low Blood Pressure
Epilepsy
Epilepsy
Sensitive skin
Sensitive skin
Do you have or are you recovering from a serious illness - Please Explain
Do you have or are you recovering from a serious illness - Please Explain
Other -please explain
Other -please explain
Comment:
150 character(s) left.
10.
Are you allergic to nuts and/or nut oils?
Yes
Yes
No
No
Other
Comment:
150 character(s) left.
11.
Which methods of Aromatherapy do you enjoy?
Massage Oils
Massage Oils
Skin Butters
Skin Butters
Skin Mists
Skin Mists
Balth Salts
Balth Salts
Skin Lotions
Skin Lotions
Pure Essential Oil blends to add to your own unscented products and baths
Pure Essential Oil blends to add to your own unscented products and baths
Other
Other
Comment:
150 character(s) left.