jean elizabeth's Beauty and Body Basics

Personal Care Survey

Jean Elizabeth's Soap & Co
For completing the following survey, jean elizabeth's will send you a free gift with your first order of $15.00 or more!
(minimum does not include shipping charges)
Name:
Address: City:
State: Zip: Phone:
What is your skin type? Oily  
Dry
Normal
Do you use a moisturizer? Mornings only Which brands of moisturizer do you use?
Evenings only
Both
What is your favorite
body cleanser?
Have you found commercial cleaners (including bar soaps) to be drying? Yes
What is your favorite
facial cleanser?
No
Sometimes
     
Do you wear makeup? Yes If yes, what is your primary makeup, which brand(s) do you use?
No
Sometimes
Do you have sensitive skin? Yes
No
What products have you tried for sensitive skin? Please list products here and tell whether they have helped at all. Have you ever tried Jean Elizabeth's PSOR-elief Salve? Our customers say it really works to relieve itching.
Do you have allergies? Yes
No
If yes, list known allergies:
Have skin care products affected your allergies in any way? Yes
No
If yes, please describe:
Did you know that lavender is good for acne? Yes
No
 
Do you use sun block Yes
No
If yes, which product(s) do you use?
Do you, or anyone you know have psoriasis or eczema? Yes
No
Have you ever tried jean elizabeth's herbal body balm (made with 3 healing herbs)? It contains no petroleum products.

Yes
No

Comments:

Do you have dry, chapped skin or hands in the wintertime? Yes
No
If yes, what products have you tried to remedy this?
What is your favorite
aromatherapy oil?
Would you consider using ours? Yes
No
What scent(s) do you currently use?
Have you ever tried solid perfume made without alcohol? Yes
No
If yes, what brand(s) have you tried?
Do you prefer: Showers
Tub baths
Jacuzzi
 
Do you use different cleansers for showers vs. baths? Yes
No
Same for both
Please list kinds or brands:
Do you occasionally need a personal gift and are at a loss as to what to buy? Yes
No
Sometimes
   
Would you consider jean elizabeth's custom gift crates/bags or spa gifts for that special someone? Yes
No
Have purchased!
Price range you would prefer:

$15.00-$25.00
$25.00-$35.00
$35.00-$50.00
$50.00 and up

 
What types of stores do you frequent for purchases of personal care products? Check all that apply:

Department Stores
Health Food Stores
Gift Shops
Specialty Shops
Discount Stores

What types of stores do you frequent for purchases of herbal products, vitamins, and supplements? Check all that apply Department Stores
Health Food Stores
Gift Shops
Specialty Shops
Discount Stores
What is your age group?

15-25
26-35
36-45
46-55
56-65
65 and over

From time to time, jean elizabeth's presents new products and/or special seasonal sales. To receive information on new products and upcoming sales, please enter your e-mail address:
 

Thank you for taking the time to complete this survey. Remember, if you want to receive your free gift, make sure you have filled out your address above!
(offer valid with minimum $15 order)

FREE OFFER WITH SURVEY!
ABOUT US | VIEW OUR PRODUCTS | HOME

Hand Made in Vermont

jean elizabeth's Beauty and Body Basics
| Concord, Vermont | 05824-9686 |
| 802-695-2537 | E-mail: mrsgreenjeans@myfairpoint.net |