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Body Moisturizer - P250911

Please provide us with your First and Last Name

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Please provide us with your email address.

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Would you be able and willing to participate in person at Summit, NJ 07901 either on October 29th or 30th?

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Would you be able and willing to participate in person at Summit, NJ 07901 either on October 29th or 30th?

A

Yes

B

No

How often, if at all, do you, yourself, use body moisturizer products?

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How often, if at all, do you, yourself, use body moisturizer products?

A

5 days a week or more

B

4 days a week

C

3 days a week

D

2 days a week

E

1 day a week or less often

F

Never

Are you currently experiencing any of the following on your arms or hands?

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Are you currently experiencing any of the following on your arms or hands?

A

Open cuts, sores or puncture wounds

B

Rashes

C

Sunburn or skin peeling due to sun exposure, erythema, scars, ulcers, vesicles, etc.

D

None of these

Please provide the photos of your body moisturizer product (such as body lotions or body creams). Make sure we can see the product name, we are referring to everything written on the front of the pack (i.e. specific product name: Radiant Glow + Argan Oil of Morocco Body Lotion)

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