PERSONAL CARE QUESTIONNAIRE

1. Does product ingredient deck use INCI nomenclature to describe all cosmetic ingredients? Yes No

2. Are all ingredients disclosed on the label? Yes No

3. If the product contains “fragrance” are petrochemical solvents used for extraction? Yes No

a. What extraction method is used?

b. Does the extraction method meet the NPA Standard and Certification for Personal Care Products? Yes No

c. Does “fragrance” contain synthetic ingredients? Yes No

4. If the product is “natural,” does it contain Parabens, Sulfates, Chemical Sunscreens, Petro Chemicals, Glycols, Phthalates, PEGs
or PPGs, DEA/TEA, Synthetic Polymers, Formaldehyde Donors or 1, 4-Dioxanes? Yes No

5. Do you have knowledge if the products contain residues of heavy metals or other contaminates in excess of levels set by the
FDA or EPA? Is any testing conducted?

6. Are any ingredients suspect for heavy metals according to FDA or EPA guidelines? If so, is routine batch testing conducted?

7. Is the packaging made from recyclable and/or post-consumer recycled content? Yes No

8. Does the company conduct animal testing of ingredients or products? Yes No

9. If your product contains palm oil or any palm oil derivatives, please advise if it is Certified Sustainable Palm and/or if it is
sustainably harvested?

10. Are your products sourced from non-GMO ingredients? Yes No

11. If any bee products are used, can the company provide the country of origin? Yes No

Manufacturer Name: Date:

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