Capstone Questionnaire

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Profile of the Respondent

Name : _________________________________________________

Age : _________________________________________________

Sex Male Female

Direction: check your most adequate answer.

Skin Condition

Normal: ___________

Dry skin: ___________

Are you using skin moisturizers of any

type?

Yes: ___________

No: ___________

How often do you use a skin

moisturizer?

Seldom: ___________

At least once a week: ___________

At least once a day: ___________

More than once a day: ___________

What other quality of skin moisturizer

do you prefer?

Fragrance: ___________

Brightening: ___________

Repairing: ___________

Convenient (price) : ___________

What do you think of the product?

Very Effective: ___________

Effective: ___________

Not so Effective: ___________

Not Sure: ___________

How was the scent?

Good: ___________
No Scent: ___________

Bad: ___________

How does it feel while using the

product?

Refreshing: ___________

Nothing: ___________

Irritating: ___________

How was the viscosity and

consistency?

Thick: ___________

Just enough: ___________

Thin: ___________

Where do you usually apply the

product?

Face: ___________

Hands: ___________

Others(Please

specify):_________

Will you consider continuing the use

of the product??

Yes: ___________

Maybe:___________

No: ___________

Remarks:

________________________________

________________________________

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