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    {"id":1881,"date":"2021-08-13T17:30:00","date_gmt":"2021-08-13T21:30:00","guid":{"rendered":"https:\/\/bboxbeauty.ca\/skin-types-quiz\/"},"modified":"2021-08-13T17:44:42","modified_gmt":"2021-08-13T21:44:42","slug":"skin-types-quiz","status":"publish","type":"page","link":"https:\/\/dev.bboxbeauty.ca\/en\/skin-types-quiz\/","title":{"rendered":"Skin Types Quiz"},"content":{"rendered":"<p style=\"text-align: center;\"><em>The B-BOX Beauty team does not make medical diagnoses at any time. If in doubt about a skin problem, we invite you to consult a health professional.<\/em><\/p>\n<p style=\"text-align: center;\"><script type=\"text\/javascript\">var gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,initializeOnLoaded:function(o){gform.domLoaded&&gform.scriptsLoaded?o():!gform.domLoaded&&gform.scriptsLoaded?window.addEventListener(\"DOMContentLoaded\",o):document.addEventListener(\"gform_main_scripts_loaded\",o)},hooks:{action:{},filter:{}},addAction:function(o,n,r,t){gform.addHook(\"action\",o,n,r,t)},addFilter:function(o,n,r,t){gform.addHook(\"filter\",o,n,r,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,n){gform.removeHook(\"action\",o,n)},removeFilter:function(o,n,r){gform.removeHook(\"filter\",o,n,r)},addHook:function(o,n,r,t,i){null==gform.hooks[o][n]&&(gform.hooks[o][n]=[]);var e=gform.hooks[o][n];null==i&&(i=n+\"_\"+e.length),gform.hooks[o][n].push({tag:i,callable:r,priority:t=null==t?10:t})},doHook:function(n,o,r){var t;if(r=Array.prototype.slice.call(r,1),null!=gform.hooks[n][o]&&((o=gform.hooks[n][o]).sort(function(o,n){return o.priority-n.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==n?t.apply(null,r):r[0]=t.apply(null,r)})),\"filter\"==n)return r[0]},removeHook:function(o,n,t,i){var r;null!=gform.hooks[o][n]&&(r=(r=gform.hooks[o][n]).filter(function(o,n,r){return!!(null!=i&&i!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][n]=r)}});<\/script>\n                <div class='gf_browser_gecko gform_wrapper gravity-theme skin-type-form_wrapper' id='gform_wrapper_3' style='display:none'><div id='gf_3' class='gform_anchor' tabindex='-1'><\/div><form method='post' enctype='multipart\/form-data'  id='gform_3' class='skin-type-form' action='\/en\/wp-json\/wp\/v2\/pages\/1881#gf_3' >\n        <div id='gf_progressbar_wrapper_3' class='gf_progressbar_wrapper'>\n        \t<p class=\"gf_progressbar_title\">Step <span class='gf_step_current_page'>1<\/span> of <span class='gf_step_page_count'>5<\/span> - First part : OILY vs DRY\n        \t<\/p>\n            <div class='gf_progressbar gf_progressbar_custom' aria-hidden='true'>\n                <div class='gf_progressbar_percentage percentbar_custom percentbar_20' style='width:20%; color:#fff; background-color:#1b305d;'><span>20%<\/span><\/div>\n            <\/div><\/div>\n                        <div class='gform_body gform-body'><div id='gform_page_3_1' class='gform_page' >\n                                    <div class='gform_page_fields'><div id='gform_fields_3' class='gform_fields top_label form_sublabel_below description_below'><div id=\"field_3_2\" class=\"gfield gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible\" ><p>This section measures skin oil production and hydration. Studies show that people's preconceptions about whether their skin is oily or dry are often\ninaccurate. Don't allow your preconceptions or what others think and say about your skin to bias your answers.\n<\/p>\n<\/div><fieldset id=\"field_3_5\" class=\"gfield gfield--width-full gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\" ><legend class='gfield_label'  >1.After washing your face, don&#039;t apply any moisturizer, sunscreen, toner, powder, or other products. Two to three hours later, look in the mirror under bright lights. Your forehead and cheeks feel or appear:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_3_5'>\n\t\t\t<div class='gchoice gchoice_3_5_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_5' type='radio' value='1'  id='choice_3_5_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_5_0' id='label_3_5_0'>a. Very rough, flaky or ashy.<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_5_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_5' type='radio' value='2'  id='choice_3_5_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_5_1' id='label_3_5_1'>b.Tight<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_5_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_5' type='radio' value='3'  id='choice_3_5_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_5_2' id='label_3_5_2'>c. Well hydrated with no reflection of light.<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_5_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_5' type='radio' value='4'  id='choice_3_5_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_5_3' id='label_3_5_3'>d. Shiny with reflection of bright light.<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_3_8\" class=\"gfield gfield--width-full gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\" ><legend class='gfield_label'  >2. In photos, your face appears shiny:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_3_8'>\n\t\t\t<div class='gchoice gchoice_3_8_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_8' type='radio' value='1'  id='choice_3_8_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_8_0' id='label_3_8_0'>a. Never, or you've never noticed shine.<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_8_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_8' type='radio' value='2'  id='choice_3_8_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_8_1' id='label_3_8_1'>b. Sometimes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_8_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_8' type='radio' value='3'  id='choice_3_8_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_8_2' id='label_3_8_2'>c. Frequently<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_8_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_8' type='radio' value='4'  id='choice_3_8_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_8_3' id='label_3_8_3'>d. Always<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_3_9\" class=\"gfield gfield--width-full gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\" ><legend class='gfield_label'  >3.Two to three hours after applying your foundation but no powder, your makeup appears:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_3_9'>\n\t\t\t<div class='gchoice gchoice_3_9_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_9' type='radio' value='1'  id='choice_3_9_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_9_0' id='label_3_9_0'>a. Flaky or caked in wrinkles.<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_9_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_9' type='radio' value='2'  id='choice_3_9_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_9_1' id='label_3_9_1'>b. Smooth<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_9_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_9' type='radio' value='3'  id='choice_3_9_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_9_2' id='label_3_9_2'>c. Shiny<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_9_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_9' type='radio' value='4'  id='choice_3_9_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_9_3' id='label_3_9_3'>d. Streaked and shiny.<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_9_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_9' type='radio' value='2.5'  id='choice_3_9_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_9_4' id='label_3_9_4'>e. I do not wear facial foundation.<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_3_10\" class=\"gfield gfield--width-full gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\" ><legend class='gfield_label'  >4. When in low humidity environment, if you don&#039;t use moisturizers or sunscreen, your facial skin:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_3_10'>\n\t\t\t<div class='gchoice gchoice_3_10_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_10' type='radio' value='1'  id='choice_3_10_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_10_0' id='label_3_10_0'>a. Feels very dry or cracks.<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_10_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_10' type='radio' value='2'  id='choice_3_10_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_10_1' id='label_3_10_1'>b. Feels tight.<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_10_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_10' type='radio' value='3'  id='choice_3_10_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_10_2' id='label_3_10_2'>c. Feels normal.<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_10_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_10' type='radio' value='4'  id='choice_3_10_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_10_3' id='label_3_10_3'>d. Looks shiny, or I never feel that I need moisturizer.<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_10_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_10' type='radio' value='2.5'  id='choice_3_10_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_10_4' id='label_3_10_4'>e. Don't know.<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_3_11\" class=\"gfield gfield--width-full gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\" ><legend class='gfield_label'  >5. Look in a magnifying mirror. How many large pores, the size of the end of a pin or greater, do you have?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_3_11'>\n\t\t\t<div class='gchoice gchoice_3_11_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_11' type='radio' value='1'  id='choice_3_11_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_3_11\"   \/>\n\t\t\t\t\t<label for='choice_3_11_0' id='label_3_11_0'>a. None<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_11_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_11' type='radio' value='2'  id='choice_3_11_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_11_1' id='label_3_11_1'>b. A few in the T-zone (forehead and nose) only.<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_11_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_11' type='radio' value='3'  id='choice_3_11_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_11_2' id='label_3_11_2'>c. Many<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_11_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_11' type='radio' value='4'  id='choice_3_11_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_11_3' id='label_3_11_3'>d. Tons!<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_11_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_11' type='radio' value='2.5'  id='choice_3_11_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_11_4' id='label_3_11_4'>e. Don't know.<\/label>\n\t\t\t<\/div><\/div><\/div><div class='gfield_description' id='gfield_description_3_11'>(Note: please look again and only answer e if you cannot determine this.)<\/div><\/fieldset><fieldset id=\"field_3_12\" class=\"gfield gfield--width-full gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\" ><legend class='gfield_label'  >6. You would characterize your facial skin as:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_3_12'>\n\t\t\t<div class='gchoice gchoice_3_12_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_12' type='radio' value='1'  id='choice_3_12_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_12_0' id='label_3_12_0'>a. Dry<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_12_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_12' type='radio' value='2'  id='choice_3_12_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_12_1' id='label_3_12_1'>b. Normal<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_12_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_12' type='radio' value='3'  id='choice_3_12_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_12_2' id='label_3_12_2'>c. Combination<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_12_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_12' type='radio' value='4'  id='choice_3_12_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_12_3' id='label_3_12_3'>d. Oily<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_3_13\" class=\"gfield gfield--width-full gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\" ><legend class='gfield_label'  >7. When you use soap that suds, bubbles, and foams vigorously, your facial skin:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_3_13'>\n\t\t\t<div class='gchoice gchoice_3_13_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_13' type='radio' value='1'  id='choice_3_13_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_13_0' id='label_3_13_0'>a. Feels dry or cracks.<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_13_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_13' type='radio' value='2'  id='choice_3_13_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_13_1' id='label_3_13_1'>b. Feels slightly dry but does not crack.<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_13_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_13' type='radio' value='3'  id='choice_3_13_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_13_2' id='label_3_13_2'>c. Feels normal.<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_13_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_13' type='radio' value='4'  id='choice_3_13_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_13_3' id='label_3_13_3'>d. Feels oily<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_13_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_13' type='radio' value='2.5'  id='choice_3_13_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_13_4' id='label_3_13_4'>e. I do not use soap or other foaming cleansers. (If this is because they make your skin dry, pick       a.)<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_3_14\" class=\"gfield gfield--width-full gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\" ><legend class='gfield_label'  >8. If not moisturized, your facial skin feels tight:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_3_14'>\n\t\t\t<div class='gchoice gchoice_3_14_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_14' type='radio' value='1'  id='choice_3_14_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_14_0' id='label_3_14_0'>a. Always<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_14_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_14' type='radio' value='2'  id='choice_3_14_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_14_1' id='label_3_14_1'>b. Sometimes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_14_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_14' type='radio' value='3'  id='choice_3_14_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_14_2' id='label_3_14_2'>c. Rarely<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_14_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_14' type='radio' value='4'  id='choice_3_14_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_14_3' id='label_3_14_3'>d. Never<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_3_15\" class=\"gfield gfield--width-full gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\" ><legend class='gfield_label'  >9. You have clogged pores (blackheads or whiteheads):<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_3_15'>\n\t\t\t<div class='gchoice gchoice_3_15_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_15' type='radio' value='1'  id='choice_3_15_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_15_0' id='label_3_15_0'>a. Never<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_15_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_15' type='radio' value='2'  id='choice_3_15_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_15_1' id='label_3_15_1'>b. Rarely<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_15_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_15' type='radio' value='3'  id='choice_3_15_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_15_2' id='label_3_15_2'>c. Sometimes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_15_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_15' type='radio' value='4'  id='choice_3_15_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_15_3' id='label_3_15_3'>d. Always<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_3_16\" class=\"gfield gfield--width-full gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\" ><legend class='gfield_label'  >10. Your face is oily in the T-zone (forehead and nose):<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_3_16'>\n\t\t\t<div class='gchoice gchoice_3_16_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_16' type='radio' value='1'  id='choice_3_16_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_16_0' id='label_3_16_0'>a. Never<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_16_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_16' type='radio' value='2'  id='choice_3_16_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_16_1' id='label_3_16_1'>b. Sometimes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_16_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_16' type='radio' value='3'  id='choice_3_16_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_16_2' id='label_3_16_2'>c. Frequently<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_16_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_16' type='radio' value='4'  id='choice_3_16_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_16_3' id='label_3_16_3'>d. Always<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_3_17\" class=\"gfield gfield--width-full gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\" ><legend class='gfield_label'  >11. Two to three hours after applying moisturizer your cheeks are:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_3_17'>\n\t\t\t<div class='gchoice gchoice_3_17_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_17' type='radio' value='1'  id='choice_3_17_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_17_0' id='label_3_17_0'>a. Very rough, flaky, or ashy.<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_17_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_17' type='radio' value='2'  id='choice_3_17_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_17_1' id='label_3_17_1'>b. Smooth<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_17_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_17' type='radio' value='3'  id='choice_3_17_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_17_2' id='label_3_17_2'>c. Slightly shiny.<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_17_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_17' type='radio' value='4'  id='choice_3_17_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_17_3' id='label_3_17_3'>d. Shiny and slick, or I do not use moisturizer.<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_3_20\" class=\"gfield gfield--width-full gfield_calculation field_sublabel_below field_description_below gfield_visibility_hidden\" ><div class='admin-hidden-markup'><i class='gform-icon gform-icon--hidden'><\/i><span>Hidden<\/span><\/div><label class='gfield_label' for='input_3_20' >Scoring of O vs. D<\/label><div class='ginput_container ginput_container_number'><input name='input_20' id='input_3_20' type='text'    value='' class='large'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform_page_footer top_label'>\n                         <input type='button' id='gform_next_button_3_3' class='gform_next_button button' value='Next'  onclick='jQuery(\"#gform_target_page_number_3\").val(\"2\");  jQuery(\"#gform_3\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_3\").val(\"2\");  jQuery(\"#gform_3\").trigger(\"submit\",[true]); } ' \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_3_2' class='gform_page' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_3_2' class='gform_fields top_label form_sublabel_below description_below'><div id=\"field_3_6\" class=\"gfield gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible\" ><p>This section measures your skin's tendency to develop pimples, redness, flushing, and itching, all signs of sensitive skin.<\/p>\n<\/div><fieldset id=\"field_3_28\" class=\"gfield gfield--width-full gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\" ><legend class='gfield_label'  >1. You get red bumps on your face:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_3_28'>\n\t\t\t<div class='gchoice gchoice_3_28_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_28' type='radio' value='1'  id='choice_3_28_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_28_0' id='label_3_28_0'>a. Never<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_28_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_28' type='radio' value='2'  id='choice_3_28_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_28_1' id='label_3_28_1'>b. Rarely<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_28_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_28' type='radio' value='3'  id='choice_3_28_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_28_2' id='label_3_28_2'>c. At least once a month.<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_28_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_28' type='radio' value='4'  id='choice_3_28_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_28_3' id='label_3_28_3'>d. At least once a week.<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_3_29\" class=\"gfield gfield--width-full gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\" ><legend class='gfield_label'  >2.Skin care products (including cleanser, moisturizer, toners, and makeup) cause your face to break out, get a rash, itch, or sting:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_3_29'>\n\t\t\t<div class='gchoice gchoice_3_29_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_29' type='radio' value='1'  id='choice_3_29_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_29_0' id='label_3_29_0'>a. Never<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_29_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_29' type='radio' value='2'  id='choice_3_29_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_29_1' id='label_3_29_1'>b. Rarely<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_29_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_29' type='radio' value='3'  id='choice_3_29_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_29_2' id='label_3_29_2'>c. Often<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_29_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_29' type='radio' value='4'  id='choice_3_29_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_29_3' id='label_3_29_3'>d. Always<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_29_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_29' type='radio' value='2.5'  id='choice_3_29_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_29_4' id='label_3_29_4'>e. I don't wear products on my face.<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_3_30\" class=\"gfield gfield--width-full gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\" ><legend class='gfield_label'  >3. Have you ever been diagnosed with acne or rosacea?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_3_30'>\n\t\t\t<div class='gchoice gchoice_3_30_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_30' type='radio' value='1'  id='choice_3_30_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_30_0' id='label_3_30_0'>a. No<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_30_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_30' type='radio' value='2'  id='choice_3_30_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_30_1' id='label_3_30_1'>b. Friends and acquaintances tell me I have it.<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_30_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_30' type='radio' value='3'  id='choice_3_30_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_30_2' id='label_3_30_2'>c. Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_30_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_30' type='radio' value='4'  id='choice_3_30_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_30_3' id='label_3_30_3'>d. Yes, a severe case.<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_30_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_30' type='radio' value='2.5'  id='choice_3_30_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_30_4' id='label_3_30_4'>e. Unsure<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_3_31\" class=\"gfield gfield--width-full gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\" ><legend class='gfield_label'  >4. If you wear jewelry that is not 14-carat gold or platine, how often do you get a rash?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_3_31'>\n\t\t\t<div class='gchoice gchoice_3_31_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_31' type='radio' value='1'  id='choice_3_31_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_31_0' id='label_3_31_0'>a. Never<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_31_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_31' type='radio' value='2'  id='choice_3_31_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_31_1' id='label_3_31_1'>b. Rarely<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_31_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_31' type='radio' value='3'  id='choice_3_31_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_31_2' id='label_3_31_2'>c. Often<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_31_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_31' type='radio' value='4'  id='choice_3_31_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_31_3' id='label_3_31_3'>d. Always<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_31_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_31' type='radio' value='2.5'  id='choice_3_31_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_31_4' id='label_3_31_4'>e. Unsure<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_3_32\" class=\"gfield gfield--width-full gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\" ><legend class='gfield_label'  >5.Sunscreens make your skin itch, burn, breakout, or turn red:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_3_32'>\n\t\t\t<div class='gchoice gchoice_3_32_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_32' type='radio' value='1'  id='choice_3_32_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_32_0' id='label_3_32_0'>a. Never<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_32_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_32' type='radio' value='2'  id='choice_3_32_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_32_1' id='label_3_32_1'>b. Rarely<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_32_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_32' type='radio' value='3'  id='choice_3_32_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_32_2' id='label_3_32_2'>c. Often<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_32_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_32' type='radio' value='4'  id='choice_3_32_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_32_3' id='label_3_32_3'>d. Always<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_32_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_32' type='radio' value='2.5'  id='choice_3_32_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_32_4' id='label_3_32_4'>e. I never wear sunscreen<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_3_33\" class=\"gfield gfield--width-full gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\" ><legend class='gfield_label'  >6. Have you ever been diagnosed with atopic dermatitis, eczema, or contact dermatitis (an allergic skin rash)?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_3_33'>\n\t\t\t<div class='gchoice gchoice_3_33_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_33' type='radio' value='1'  id='choice_3_33_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_33_0' id='label_3_33_0'>a. No<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_33_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_33' type='radio' value='2'  id='choice_3_33_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_33_1' id='label_3_33_1'>b. Friends tell me I have it.<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_33_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_33' type='radio' value='3'  id='choice_3_33_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_33_2' id='label_3_33_2'>c. Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_33_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_33' type='radio' value='4'  id='choice_3_33_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_33_3' id='label_3_33_3'>d. Yes, a severe case.<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_33_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_33' type='radio' value='2.5'  id='choice_3_33_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_33_4' id='label_3_33_4'>e. Unsure<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_3_34\" class=\"gfield gfield--width-full gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\" ><legend class='gfield_label'  >7. How often do you get a rash underneath your rings?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_3_34'>\n\t\t\t<div class='gchoice gchoice_3_34_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_34' type='radio' value='1'  id='choice_3_34_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_34_0' id='label_3_34_0'>a. Never<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_34_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_34' type='radio' value='2'  id='choice_3_34_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_34_1' id='label_3_34_1'>b. Rarely<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_34_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_34' type='radio' value='3'  id='choice_3_34_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_34_2' id='label_3_34_2'>c. Often<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_34_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_34' type='radio' value='4'  id='choice_3_34_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_34_3' id='label_3_34_3'>d. Always<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_34_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_34' type='radio' value='2.5'  id='choice_3_34_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_34_4' id='label_3_34_4'>e. I do not wear rings.<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_3_35\" class=\"gfield gfield--width-full gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\" ><legend class='gfield_label'  >8. Fragranced bubble bath, massage oil, or body lotions make your skin break out, itch, or feel dry:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_3_35'>\n\t\t\t<div class='gchoice gchoice_3_35_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_35' type='radio' value='1'  id='choice_3_35_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_3_35\"   \/>\n\t\t\t\t\t<label for='choice_3_35_0' id='label_3_35_0'>a. Never<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_35_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_35' type='radio' value='2'  id='choice_3_35_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_35_1' id='label_3_35_1'>b. Rarely<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_35_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_35' type='radio' value='3'  id='choice_3_35_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_35_2' id='label_3_35_2'>c. Often<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_35_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_35' type='radio' value='4'  id='choice_3_35_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_35_3' id='label_3_35_3'>d. Always<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_35_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_35' type='radio' value='2.5'  id='choice_3_35_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_35_4' id='label_3_35_4'>e. I never use these types of products.<\/label>\n\t\t\t<\/div><\/div><\/div><div class='gfield_description' id='gfield_description_3_35'>(Note: answer d if you don't use them because they cause the above-mentioned problems.)<\/div><\/fieldset><fieldset id=\"field_3_36\" class=\"gfield gfield--width-full gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\" ><legend class='gfield_label'  >9. Can you use the soap provided in hotels on your body or face without a problem?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_3_36'>\n\t\t\t<div class='gchoice gchoice_3_36_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_36' type='radio' value='1'  id='choice_3_36_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_36_0' id='label_3_36_0'>a. Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_36_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_36' type='radio' value='2'  id='choice_3_36_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_36_1' id='label_3_36_1'>b. Most of the time, I don't have a problem.<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_36_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_36' type='radio' value='3'  id='choice_3_36_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_36_2' id='label_3_36_2'>c. No, my skin itches, turns red, or breaks out.<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_36_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_36' type='radio' value='4'  id='choice_3_36_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_36_3' id='label_3_36_3'>d. I would not use it. I've had too many problems in the past!<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_36_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_36' type='radio' value='2.5'  id='choice_3_36_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_36_4' id='label_3_36_4'>e. I carry my own, so I'm unsure.<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_3_37\" class=\"gfield gfield--width-full gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\" ><legend class='gfield_label'  >10. Has someone in your family been diagnosed with atopic dermatitis, eczema, asthma, and\/or allergies?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_3_37'>\n\t\t\t<div class='gchoice gchoice_3_37_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_37' type='radio' value='1'  id='choice_3_37_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_37_0' id='label_3_37_0'>a. No<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_37_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_37' type='radio' value='2'  id='choice_3_37_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_37_1' id='label_3_37_1'>b. One family member that I know of.<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_37_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_37' type='radio' value='3'  id='choice_3_37_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_37_2' id='label_3_37_2'>c. Several family members.<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_37_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_37' type='radio' value='4'  id='choice_3_37_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_37_3' id='label_3_37_3'>d. Many of my family members have dermatitis, eczema, asthma, and\/or allergies.<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_37_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_37' type='radio' value='2.5'  id='choice_3_37_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_37_4' id='label_3_37_4'>e. Unsure<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_3_38\" class=\"gfield gfield--width-full gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\" ><legend class='gfield_label'  >11. What occurs if you use scented laundry detergents or static control sheets in the dryer?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_3_38'>\n\t\t\t<div class='gchoice gchoice_3_38_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_38' type='radio' value='1'  id='choice_3_38_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_38_0' id='label_3_38_0'>a. My skin is fine.<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_38_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_38' type='radio' value='2'  id='choice_3_38_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_38_1' id='label_3_38_1'>b. My skin feels slightly dry.<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_38_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_38' type='radio' value='3'  id='choice_3_38_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_38_2' id='label_3_38_2'>c. My skin itches.<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_38_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_38' type='radio' value='4'  id='choice_3_38_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_38_3' id='label_3_38_3'>d. My skin itches and gets a rash.<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_38_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_38' type='radio' value='2.5'  id='choice_3_38_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_38_4' id='label_3_38_4'>e. Unsure, or I've never used them.<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_3_39\" class=\"gfield gfield--width-full gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\" ><legend class='gfield_label'  >12. How often do your face and\/or neck get red after moderate exercise, and\/or with stress or a strong emotion, such as anger?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_3_39'>\n\t\t\t<div class='gchoice gchoice_3_39_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_39' type='radio' value='1'  id='choice_3_39_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_39_0' id='label_3_39_0'>a. Never<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_39_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_39' type='radio' value='2'  id='choice_3_39_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_39_1' id='label_3_39_1'>b. Sometimes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_39_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_39' type='radio' value='3'  id='choice_3_39_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_39_2' id='label_3_39_2'>c. Frequently<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_39_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_39' type='radio' value='4'  id='choice_3_39_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_39_3' id='label_3_39_3'>d. Always<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_3_40\" class=\"gfield gfield--width-full gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\" ><legend class='gfield_label'  >13. How often do you tend to get red and flushed after drinking alcohol?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_3_40'>\n\t\t\t<div class='gchoice gchoice_3_40_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_40' type='radio' value='1'  id='choice_3_40_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_40_0' id='label_3_40_0'>a. Never<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_40_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_40' type='radio' value='2'  id='choice_3_40_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_40_1' id='label_3_40_1'>b. Sometimes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_40_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_40' type='radio' value='3'  id='choice_3_40_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_40_2' id='label_3_40_2'>c. Frequently<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_40_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_40' type='radio' value='4'  id='choice_3_40_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_40_3' id='label_3_40_3'>d. Always, or I don't drink because of this problem.<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_40_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_40' type='radio' value='2.5'  id='choice_3_40_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_40_4' id='label_3_40_4'>e. I never drink alcohol.<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_3_41\" class=\"gfield gfield--width-full gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\" ><legend class='gfield_label'  >14. How often do you get red and flushed after eating spicy or hot (temperature) foods or beverages?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_3_41'>\n\t\t\t<div class='gchoice gchoice_3_41_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_41' type='radio' value='1'  id='choice_3_41_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_3_41\"   \/>\n\t\t\t\t\t<label for='choice_3_41_0' id='label_3_41_0'>a. Never<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_41_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_41' type='radio' value='2'  id='choice_3_41_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_41_1' id='label_3_41_1'>b. Often<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_41_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_41' type='radio' value='3'  id='choice_3_41_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_41_2' id='label_3_41_2'>c. Frequently<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_41_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_41' type='radio' value='4'  id='choice_3_41_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_41_3' id='label_3_41_3'>d. Always<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_41_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_41' type='radio' value='2.5'  id='choice_3_41_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_41_4' id='label_3_41_4'>e. I never eat spicy food<\/label>\n\t\t\t<\/div><\/div><\/div><div class='gfield_description' id='gfield_description_3_41'>(Note: if you don't eat spicy or hot food because of facial flushing, pick d.)<\/div><\/fieldset><fieldset id=\"field_3_42\" class=\"gfield gfield--width-full gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\" ><legend class='gfield_label'  >15. How many visible red or blue broken blood vessels do you have (or did you have prior to treatment) on your face and nose?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_3_42'>\n\t\t\t<div class='gchoice gchoice_3_42_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_42' type='radio' value='1'  id='choice_3_42_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_42_0' id='label_3_42_0'>a.  None<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_42_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_42' type='radio' value='2'  id='choice_3_42_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_42_1' id='label_3_42_1'>b. Few (one to three on entire face, including nose).<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_42_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_42' type='radio' value='3'  id='choice_3_42_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_42_2' id='label_3_42_2'>c. Some (four to six on entire face, including nose).<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_42_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_42' type='radio' value='4'  id='choice_3_42_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_42_3' id='label_3_42_3'>d. Many (over seven on entire face, including nose).<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_3_43\" class=\"gfield gfield--width-full gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\" ><legend class='gfield_label'  >16. Your face looks red in photographs:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_3_43'>\n\t\t\t<div class='gchoice gchoice_3_43_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_43' type='radio' value='1'  id='choice_3_43_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_43_0' id='label_3_43_0'>a. Never, or I've never noticed it.<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_43_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_43' type='radio' value='2'  id='choice_3_43_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_43_1' id='label_3_43_1'>b. Sometimes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_43_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_43' type='radio' value='3'  id='choice_3_43_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_43_2' id='label_3_43_2'>c. Frequently<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_43_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_43' type='radio' value='4'  id='choice_3_43_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_43_3' id='label_3_43_3'>d. Always<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_3_44\" class=\"gfield gfield--width-full gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\" ><legend class='gfield_label'  >17. People ask you if you are sunburned, even when you are not:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_3_44'>\n\t\t\t<div class='gchoice gchoice_3_44_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_44' type='radio' value='1'  id='choice_3_44_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_44_0' id='label_3_44_0'>a. Never<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_44_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_44' type='radio' value='2'  id='choice_3_44_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_44_1' id='label_3_44_1'>b. Sometimes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_44_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_44' type='radio' value='3'  id='choice_3_44_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_44_2' id='label_3_44_2'>c. Frequently<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_44_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_44' type='radio' value='4'  id='choice_3_44_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_44_3' id='label_3_44_3'>d. Always<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_44_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_44' type='radio' value='2.5'  id='choice_3_44_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_44_4' id='label_3_44_4'>e. I always am sunburned. (You bad thing!)<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_3_45\" class=\"gfield gfield--width-full gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\" ><legend class='gfield_label'  >18. You get redness, itching, or swelling from makeup, sunscreen, or skin care products:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_3_45'>\n\t\t\t<div class='gchoice gchoice_3_45_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_45' type='radio' value='1'  id='choice_3_45_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_3_45\"   \/>\n\t\t\t\t\t<label for='choice_3_45_0' id='label_3_45_0'>a. Never<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_45_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_45' type='radio' value='2'  id='choice_3_45_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_45_1' id='label_3_45_1'>b. Sometimes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_45_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_45' type='radio' value='3'  id='choice_3_45_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_45_2' id='label_3_45_2'>c. Frequently<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_45_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_45' type='radio' value='4'  id='choice_3_45_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_45_3' id='label_3_45_3'>d. Always<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_45_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_45' type='radio' value='2.5'  id='choice_3_45_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_45_4' id='label_3_45_4'>e. I do not use these products.<\/label>\n\t\t\t<\/div><\/div><\/div><div class='gfield_description' id='gfield_description_3_45'>(Note: answer d if you don't use them because of redness, itching, or swelling.)<\/div><\/fieldset><fieldset id=\"field_3_47\" class=\"gfield gfield--width-full field_sublabel_below field_description_below hidden_label gfield_visibility_visible\" ><legend class='gfield_label gfield_label_before_complex'  >Diagnostic<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox' id='input_3_47'><div class='gchoice gchoice_3_47_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_47.1' type='checkbox'  value='5'  id='choice_3_47_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_47_1' id='label_3_47_1'>If you've ever received a diagnosis of acne, rosacea, contact dermatitis, or eczema from a dermatologist<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_47_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_47.2' type='checkbox'  value='2'  id='choice_3_47_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_47_2' id='label_3_47_2'>If another type of physician has diagnosed you with these conditions<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_3_46\" class=\"gfield gfield--width-full gfield_calculation field_sublabel_below field_description_below gfield_visibility_hidden\" ><div class='admin-hidden-markup'><i class='gform-icon gform-icon--hidden'><\/i><span>Hidden<\/span><\/div><label class='gfield_label' for='input_3_46' >Scoring of S vs. R<\/label><div class='ginput_container ginput_container_number'><input name='input_46' id='input_3_46' type='text'    value='' class='large'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_3_4' class='gform_previous_button button' value='Previous'  onclick='jQuery(\"#gform_target_page_number_3\").val(\"1\");  jQuery(\"#gform_3\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_3\").val(\"1\");  jQuery(\"#gform_3\").trigger(\"submit\",[true]); } ' \/> <input type='button' id='gform_next_button_3_4' class='gform_next_button button' value='Next'  onclick='jQuery(\"#gform_target_page_number_3\").val(\"3\");  jQuery(\"#gform_3\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_3\").val(\"3\");  jQuery(\"#gform_3\").trigger(\"submit\",[true]); } ' \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_3_3' class='gform_page' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_3_3' class='gform_fields top_label form_sublabel_below description_below'><div id=\"field_3_7\" class=\"gfield gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible\" ><p>This section measures your skin's tendency to form melanin, a skin pigment that produces darker skin tones as well as dark patches, freckles, and dark\nareas after trauma. Melanin also helps you tan rather than burn.<\/p>\n<\/div><fieldset id=\"field_3_49\" class=\"gfield gfield--width-full gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\" ><legend class='gfield_label'  >1. After you have a pimple or ingrown hair, it&#039;s followed by a dark brownish\/black spot:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_3_49'>\n\t\t\t<div class='gchoice gchoice_3_49_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_49' type='radio' value='1'  id='choice_3_49_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_49_0' id='label_3_49_0'>a. Never<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_49_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_49' type='radio' value='2'  id='choice_3_49_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_49_1' id='label_3_49_1'>b. Sometimes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_49_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_49' type='radio' value='3'  id='choice_3_49_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_49_2' id='label_3_49_2'>c. Frequently<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_49_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_49' type='radio' value='4'  id='choice_3_49_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_49_3' id='label_3_49_3'>d. Always<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_49_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_49' type='radio' value='2.5'  id='choice_3_49_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_49_4' id='label_3_49_4'>e. I never get pimples or ingrown hairs.<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_3_58\" class=\"gfield gfield--width-full gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\" ><legend class='gfield_label'  >2. After you cut yourself, how long does the brown (not pink) mark remain?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_3_58'>\n\t\t\t<div class='gchoice gchoice_3_58_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_58' type='radio' value='1'  id='choice_3_58_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_58_0' id='label_3_58_0'>a. I don't get a brown mark.<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_58_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_58' type='radio' value='2'  id='choice_3_58_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_58_1' id='label_3_58_1'>b. A week.<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_58_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_58' type='radio' value='3'  id='choice_3_58_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_58_2' id='label_3_58_2'>c. c. A few weeks.<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_58_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_58' type='radio' value='4'  id='choice_3_58_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_58_3' id='label_3_58_3'>d. Months<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_3_59\" class=\"gfield gfield--width-full gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\" ><legend class='gfield_label'  >3. How many dark spots did you develop on your face when you were pregnant, on birth control pills, or taking hormone replacement therapy (HRT)?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_3_59'>\n\t\t\t<div class='gchoice gchoice_3_59_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_59' type='radio' value='1'  id='choice_3_59_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_59_0' id='label_3_59_0'>a. None<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_59_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_59' type='radio' value='2'  id='choice_3_59_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_59_1' id='label_3_59_1'>b. One<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_59_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_59' type='radio' value='3'  id='choice_3_59_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_59_2' id='label_3_59_2'>c. A few<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_59_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_59' type='radio' value='4'  id='choice_3_59_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_59_3' id='label_3_59_3'>d. A lot<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_59_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_59' type='radio' value='2.5'  id='choice_3_59_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_59_4' id='label_3_59_4'>e. This question does not apply to me (because I am male, or because I have never been pregnant or taken birth control pills or HRT, or because I'm unsure whether I have dark spots).<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_3_60\" class=\"gfield gfield--width-full gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\" ><legend class='gfield_label'  >4. Do you have any dark spots or patches on your upper lip or cheeks? Or have you had any in the past that you&#039;ve had removed?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_3_60'>\n\t\t\t<div class='gchoice gchoice_3_60_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_60' type='radio' value='1'  id='choice_3_60_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_60_0' id='label_3_60_0'>a. No<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_60_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_60' type='radio' value='2'  id='choice_3_60_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_60_1' id='label_3_60_1'>b. I'm not sure.<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_60_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_60' type='radio' value='3'  id='choice_3_60_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_60_2' id='label_3_60_2'>c. Yes, they are (or were) slightly noticeable.<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_60_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_60' type='radio' value='4'  id='choice_3_60_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_60_3' id='label_3_60_3'>d. Yes, they are (or were) very noticeable.<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_3_61\" class=\"gfield gfield--width-full gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\" ><legend class='gfield_label'  >5. Do the dark spots on your face get worse when you go in the sun?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_3_61'>\n\t\t\t<div class='gchoice gchoice_3_61_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_61' type='radio' value='1'  id='choice_3_61_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_3_61\"   \/>\n\t\t\t\t\t<label for='choice_3_61_0' id='label_3_61_0'>a. I have no dark spots.<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_61_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_61' type='radio' value='2'  id='choice_3_61_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_61_1' id='label_3_61_1'>b. Unsure<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_61_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_61' type='radio' value='3'  id='choice_3_61_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_61_2' id='label_3_61_2'>c. Slightly worse.<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_61_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_61' type='radio' value='4'  id='choice_3_61_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_61_3' id='label_3_61_3'>d. A lot worse.<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_61_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_61' type='radio' value='2.5'  id='choice_3_61_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_61_4' id='label_3_61_4'>e. I wear sunscreen on my face every day and never get sun.<\/label>\n\t\t\t<\/div><\/div><\/div><div class='gfield_description' id='gfield_description_3_61'>(Note: if you use constant sun protection because you're afraid you might get\ndark patches or freckles, answer d.)<\/div><\/fieldset><fieldset id=\"field_3_62\" class=\"gfield gfield--width-full gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\" ><legend class='gfield_label'  >6. Have you been diagnosed with melasma, light or dark brown or gray patches on your face?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_3_62'>\n\t\t\t<div class='gchoice gchoice_3_62_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_62' type='radio' value='1'  id='choice_3_62_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_62_0' id='label_3_62_0'>a. No<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_62_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_62' type='radio' value='2'  id='choice_3_62_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_62_1' id='label_3_62_1'>b. Once, but it went away<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_62_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_62' type='radio' value='3'  id='choice_3_62_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_62_2' id='label_3_62_2'>c. Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_62_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_62' type='radio' value='4'  id='choice_3_62_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_62_3' id='label_3_62_3'>d. Yes, a severe case<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_62_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_62' type='radio' value='2.5'  id='choice_3_62_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_62_4' id='label_3_62_4'>e. Unsure<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_3_63\" class=\"gfield gfield--width-full gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\" ><legend class='gfield_label'  >7. Do you have, or have you ever had, small brown spots (freckles or sun spots) on your face, chest, back, or arms?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_3_63'>\n\t\t\t<div class='gchoice gchoice_3_63_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_63' type='radio' value='1'  id='choice_3_63_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_63_0' id='label_3_63_0'>a. No<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_63_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_63' type='radio' value='2'  id='choice_3_63_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_63_1' id='label_3_63_1'>b. Yes, a few (1 to 5)<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_63_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_63' type='radio' value='3'  id='choice_3_63_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_63_2' id='label_3_63_2'>c. Yes, many (6 to 15)<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_63_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_63' type='radio' value='4'  id='choice_3_63_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_63_3' id='label_3_63_3'>d. Yes, tons (16 or more)<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_3_64\" class=\"gfield gfield--width-full gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\" ><legend class='gfield_label'  >8. When exposed to sun for the first time in several months, your skin:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_3_64'>\n\t\t\t<div class='gchoice gchoice_3_64_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_64' type='radio' value='1'  id='choice_3_64_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_64_0' id='label_3_64_0'>a. Burns only<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_64_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_64' type='radio' value='2'  id='choice_3_64_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_64_1' id='label_3_64_1'>b. Burns then gets darker<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_64_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_64' type='radio' value='3'  id='choice_3_64_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_64_2' id='label_3_64_2'>c. Gets darker<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_64_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_64' type='radio' value='4'  id='choice_3_64_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_64_3' id='label_3_64_3'>d. My skin is already dark, so it is hard to see if it gets darker. (You can't pick \"I never had sun exposure\". Think of childhood experiences!)<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_3_65\" class=\"gfield gfield--width-full gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\" ><legend class='gfield_label'  >9. What happens after you have had many days of consecutive sun exposure:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_3_65'>\n\t\t\t<div class='gchoice gchoice_3_65_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_65' type='radio' value='1'  id='choice_3_65_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_65_0' id='label_3_65_0'>a. I sunburn and blister, but my skin does not change colour<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_65_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_65' type='radio' value='2'  id='choice_3_65_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_65_1' id='label_3_65_1'>b. My skin becomes slightly darker<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_65_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_65' type='radio' value='3'  id='choice_3_65_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_65_2' id='label_3_65_2'>c. My skin becomes much darker<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_65_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_65' type='radio' value='4'  id='choice_3_65_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_65_3' id='label_3_65_3'>d. My skin is already dark so it is hard to see if it gets darker.<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_65_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_65' type='radio' value='2.5'  id='choice_3_65_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_65_4' id='label_3_65_4'>e. Unsure (You can't pick \"I never had sun\". If you really have to pick e, first consider all childhood experiences)<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_3_66\" class=\"gfield gfield--width-full gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\" ><legend class='gfield_label'  >10. When you go in the sun, do you develop freckels (small 1-2mm, pinpoint-sized flat spots)?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_3_66'>\n\t\t\t<div class='gchoice gchoice_3_66_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_66' type='radio' value='1'  id='choice_3_66_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_66_0' id='label_3_66_0'>a. No, I never develop them<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_66_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_66' type='radio' value='2'  id='choice_3_66_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_66_1' id='label_3_66_1'>b. 1 develop a few new small freckles each year<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_66_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_66' type='radio' value='3'  id='choice_3_66_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_66_2' id='label_3_66_2'>c. I develop new freckles often<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_66_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_66' type='radio' value='4'  id='choice_3_66_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_66_3' id='label_3_66_3'>d. My skin is already dark so it is hard to see if it gets darker.<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_66_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_66' type='radio' value='2.5'  id='choice_3_66_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_66_4' id='label_3_66_4'>e. I never go in the sun. (Good for you!)<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_3_67\" class=\"gfield gfield--width-full gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\" ><legend class='gfield_label'  >11. Did either of your parents have freckles? If so, please indicate how many. If neither or one parent did, respond to the question. If both did, answer the question as it relates to the parent with the mot freckles.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_3_67'>\n\t\t\t<div class='gchoice gchoice_3_67_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_67' type='radio' value='1'  id='choice_3_67_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_67_0' id='label_3_67_0'>a. No<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_67_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_67' type='radio' value='2'  id='choice_3_67_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_67_1' id='label_3_67_1'>b. A few on the face<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_67_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_67' type='radio' value='3'  id='choice_3_67_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_67_2' id='label_3_67_2'>c. Many on the face<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_67_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_67' type='radio' value='4'  id='choice_3_67_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_67_3' id='label_3_67_3'>d. Many on face, chest, neck and shoulders<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_67_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_67' type='radio' value='2.5'  id='choice_3_67_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_67_4' id='label_3_67_4'>e. Unsure<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_3_68\" class=\"gfield gfield--width-full gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\" ><legend class='gfield_label'  >12. What is your natural hair colour? (If gray, state colour before graying)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_3_68'>\n\t\t\t<div class='gchoice gchoice_3_68_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_68' type='radio' value='1'  id='choice_3_68_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_68_0' id='label_3_68_0'>a. Blond<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_68_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_68' type='radio' value='2'  id='choice_3_68_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_68_1' id='label_3_68_1'>b. Brown<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_68_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_68' type='radio' value='3'  id='choice_3_68_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_68_2' id='label_3_68_2'>c. Black<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_68_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_68' type='radio' value='4'  id='choice_3_68_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_68_3' id='label_3_68_3'>d. Red<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_3_69\" class=\"gfield gfield--width-full gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\" ><legend class='gfield_label'  >13. Do you have a history of melanoma yourself or in your immediate family?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_3_69'>\n\t\t\t<div class='gchoice gchoice_3_69_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_69' type='radio' value='1'  id='choice_3_69_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_69_0' id='label_3_69_0'>a. No<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_69_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_69' type='radio' value='2'  id='choice_3_69_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_69_1' id='label_3_69_1'>b. 1 person in my family<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_69_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_69' type='radio' value='3'  id='choice_3_69_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_69_2' id='label_3_69_2'>c. more than 1 person<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_69_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_69' type='radio' value='4'  id='choice_3_69_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_69_3' id='label_3_69_3'>d. I have a history of melanoma<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_69_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_69' type='radio' value='2.5'  id='choice_3_69_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_69_4' id='label_3_69_4'>e. Unsure<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_3_70\" class=\"gfield gfield--width-full field_sublabel_below field_description_below hidden_label gfield_visibility_visible\" ><legend class='gfield_label gfield_label_before_complex'  >Taches pigmentaires<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox' id='input_3_70'><div class='gchoice gchoice_3_70_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_70.1' type='checkbox'  value='5'  id='choice_3_70_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_70_1' id='label_3_70_1'>If you have dark spots on your skin in areas of sun exposure<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_3_71\" class=\"gfield gfield--width-full gfield_calculation field_sublabel_below field_description_below gfield_visibility_hidden\" ><div class='admin-hidden-markup'><i class='gform-icon gform-icon--hidden'><\/i><span>Hidden<\/span><\/div><label class='gfield_label' for='input_3_71' >Scoring of P vs N<\/label><div class='ginput_container ginput_container_number'><input name='input_71' id='input_3_71' type='text'    value='' class='large'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_3_18' class='gform_previous_button button' value='Previous'  onclick='jQuery(\"#gform_target_page_number_3\").val(\"2\");  jQuery(\"#gform_3\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_3\").val(\"2\");  jQuery(\"#gform_3\").trigger(\"submit\",[true]); } ' \/> <input type='button' id='gform_next_button_3_18' class='gform_next_button button' value='Next'  onclick='jQuery(\"#gform_target_page_number_3\").val(\"4\");  jQuery(\"#gform_3\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_3\").val(\"4\");  jQuery(\"#gform_3\").trigger(\"submit\",[true]); } ' \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_3_4' class='gform_page' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_3_4' class='gform_fields top_label form_sublabel_below description_below'><div id=\"field_3_19\" class=\"gfield gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible\" ><p>This section measures your tendency to wrinkle, as well as how wrinkled you are right now. Some of our clients confessed that they cheated on this section\nto come out as a T - after we caught them doing it. Don't do that! You're only cheating yourself out of using preventative therapies that could prevent wrinkles. Changing your habits now could change your score in the future from a W to a T. So be honest and get the right beauty routine or cosmetics if you need them.\n<\/p><\/div><fieldset id=\"field_3_75\" class=\"gfield gfield--width-full gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\" ><legend class='gfield_label'  >1. Do you have facial wrinkles?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_3_75'>\n\t\t\t<div class='gchoice gchoice_3_75_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_75' type='radio' value='1'  id='choice_3_75_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_75_0' id='label_3_75_0'>a. No, not even with movement such as smiling, frowning, or lifting my eyebrows<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_75_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_75' type='radio' value='2'  id='choice_3_75_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_75_1' id='label_3_75_1'>b. Only when I move, such as smiling, frowning, or lifting my eyebrows<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_75_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_75' type='radio' value='3'  id='choice_3_75_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_75_2' id='label_3_75_2'>c. Yes, with movement and a few at rest without movement<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_75_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_75' type='radio' value='4'  id='choice_3_75_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_75_3' id='label_3_75_3'>d. Wrinkles are present even if I'm not smiling, frowning, or lifting my brows<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_3_76\" class=\"gfield gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible\" ><p>IMPORTANT: In answering questions 2-7, please respond according to how you would compare yourself and other family members to all other ethnic groups, not just your own. For family members who you may not have known, please ask other family members or refer to photographs, where possible.<\/p><\/div><fieldset id=\"field_3_77\" class=\"gfield gfield--width-full gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\" ><legend class='gfield_label'  >2. How old does\/did your mother&#039;s facial skin look?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_3_77'>\n\t\t\t<div class='gchoice gchoice_3_77_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_77' type='radio' value='1'  id='choice_3_77_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_77_0' id='label_3_77_0'>a. 5 to 10 years younger than her age<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_77_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_77' type='radio' value='2'  id='choice_3_77_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_77_1' id='label_3_77_1'>b. Her age<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_77_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_77' type='radio' value='3'  id='choice_3_77_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_77_2' id='label_3_77_2'>c. 5 years older than her age<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_77_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_77' type='radio' value='4'  id='choice_3_77_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_77_3' id='label_3_77_3'>d. More than five years older than her age<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_77_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_77' type='radio' value='2.5'  id='choice_3_77_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_77_4' id='label_3_77_4'>e. Not applicable: I was adopted, or I cannot remember<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_3_78\" class=\"gfield gfield--width-full gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\" ><legend class='gfield_label'  >3. How old does\/did your father&#039;s facial skin look?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_3_78'>\n\t\t\t<div class='gchoice gchoice_3_78_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_78' type='radio' value='1'  id='choice_3_78_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_78_0' id='label_3_78_0'>a. 5 to 10 years younger than his age<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_78_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_78' type='radio' value='2'  id='choice_3_78_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_78_1' id='label_3_78_1'>b. His age<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_78_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_78' type='radio' value='3'  id='choice_3_78_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_78_2' id='label_3_78_2'>c. 5 ans de plus que son \u00e2ge<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_78_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_78' type='radio' value='4'  id='choice_3_78_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_78_3' id='label_3_78_3'>d. More than five years older than his age<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_78_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_78' type='radio' value='2.5'  id='choice_3_78_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_78_4' id='label_3_78_4'>e. Not applicable: I was adopted, or I cannot remember<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_3_79\" class=\"gfield gfield--width-full gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\" ><legend class='gfield_label'  >4. How old does\/did your maternal grandmother&#039;s facial skin look?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_3_79'>\n\t\t\t<div class='gchoice gchoice_3_79_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_79' type='radio' value='1'  id='choice_3_79_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_79_0' id='label_3_79_0'>a. 5 to 10 years younger than her age<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_79_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_79' type='radio' value='2'  id='choice_3_79_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_79_1' id='label_3_79_1'>b. Her age<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_79_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_79' type='radio' value='3'  id='choice_3_79_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_79_2' id='label_3_79_2'>c. 5 years older than her age<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_79_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_79' type='radio' value='4'  id='choice_3_79_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_79_3' id='label_3_79_3'>d. More than five years older than her age<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_79_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_79' type='radio' value='2.5'  id='choice_3_79_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_79_4' id='label_3_79_4'>e. Not applicable: I was adopted, never knew her or I cannot remember<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_3_80\" class=\"gfield gfield--width-full gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\" ><legend class='gfield_label'  >5. How old does\/did your maternal grandfather&#039;s facial skin look?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_3_80'>\n\t\t\t<div class='gchoice gchoice_3_80_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_80' type='radio' value='1'  id='choice_3_80_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_80_0' id='label_3_80_0'>a. 5 to 10 years younger than his age<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_80_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_80' type='radio' value='2'  id='choice_3_80_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_80_1' id='label_3_80_1'>b. His age<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_80_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_80' type='radio' value='3'  id='choice_3_80_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_80_2' id='label_3_80_2'>c. 5 years older than his age<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_80_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_80' type='radio' value='4'  id='choice_3_80_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_80_3' id='label_3_80_3'>d. More than five years older than his age<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_80_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_80' type='radio' value='2.5'  id='choice_3_80_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_80_4' id='label_3_80_4'>e. Not applicable: I was adopted, never knew him or I cannot remember<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_3_81\" class=\"gfield gfield--width-full gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\" ><legend class='gfield_label'  >6. How old does\/did your paternal grandmother&#039;s facial skin look?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_3_81'>\n\t\t\t<div class='gchoice gchoice_3_81_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_81' type='radio' value='1'  id='choice_3_81_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_81_0' id='label_3_81_0'>a. 5 to 10 years younger than her age<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_81_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_81' type='radio' value='2'  id='choice_3_81_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_81_1' id='label_3_81_1'>b. Her age<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_81_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_81' type='radio' value='3'  id='choice_3_81_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_81_2' id='label_3_81_2'>c. 5 years older than her age<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_81_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_81' type='radio' value='4'  id='choice_3_81_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_81_3' id='label_3_81_3'>d. More than five years older than her age<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_81_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_81' type='radio' value='2.5'  id='choice_3_81_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_81_4' id='label_3_81_4'>e. Not applicable: I was adopted, never knew her or I cannot remember<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_3_82\" class=\"gfield gfield--width-full gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\" ><legend class='gfield_label'  >7. How old does\/did your paternal grandfather&#039;s facial skin look?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_3_82'>\n\t\t\t<div class='gchoice gchoice_3_82_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_82' type='radio' value='1'  id='choice_3_82_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_82_0' id='label_3_82_0'>a. 5 to 10 years younger than his age<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_82_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_82' type='radio' value='2'  id='choice_3_82_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_82_1' id='label_3_82_1'>b. His age<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_82_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_82' type='radio' value='3'  id='choice_3_82_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_82_2' id='label_3_82_2'>c. 5 years older than his age<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_82_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_82' type='radio' value='4'  id='choice_3_82_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_82_3' id='label_3_82_3'>d. More than five years older than his age<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_82_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_82' type='radio' value='2.5'  id='choice_3_82_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_82_4' id='label_3_82_4'>e. Not applicable: I was adopted, never knew him or I cannot remember<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_3_83\" class=\"gfield gfield--width-full gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\" ><legend class='gfield_label'  >8. At any time in your life, have you ever tanned your skin on an ongoing basis for more than two weeks per year? If so for how many toptal years did you do this? Please count tanning from playing tennis, fishing, playing golf, skiing, or other outdoor activities. The beach is not the only place you can get a tan.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_3_83'>\n\t\t\t<div class='gchoice gchoice_3_83_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_83' type='radio' value='1'  id='choice_3_83_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_83_0' id='label_3_83_0'>a. Never<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_83_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_83' type='radio' value='2'  id='choice_3_83_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_83_1' id='label_3_83_1'>b. 1 to 5 years<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_83_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_83' type='radio' value='3'  id='choice_3_83_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_83_2' id='label_3_83_2'>c. 5 to 10 years<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_83_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_83' type='radio' value='4'  id='choice_3_83_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_83_3' id='label_3_83_3'>d. More than 10 years<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_3_84\" class=\"gfield gfield--width-full gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\" ><legend class='gfield_label'  >9. At any time in your life, have you ever engaged in seasonal tanning of two weeks per year or less? (Yes, summer vacaction counts!) If so, how often?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_3_84'>\n\t\t\t<div class='gchoice gchoice_3_84_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_84' type='radio' value='1'  id='choice_3_84_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_84_0' id='label_3_84_0'>a. Never<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_84_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_84' type='radio' value='2'  id='choice_3_84_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_84_1' id='label_3_84_1'>b. 1 to 5 years<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_84_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_84' type='radio' value='3'  id='choice_3_84_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_84_2' id='label_3_84_2'>c. 5 to 10 years<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_84_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_84' type='radio' value='4'  id='choice_3_84_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_84_3' id='label_3_84_3'>d. More than 10 years<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_3_85\" class=\"gfield gfield--width-full gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\" ><legend class='gfield_label'  >10. Based on places you&#039;ve lived, how much daily sun exposure have you received in your life?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_3_85'>\n\t\t\t<div class='gchoice gchoice_3_85_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_85' type='radio' value='1'  id='choice_3_85_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_85_0' id='label_3_85_0'>a. Little; I've mostly lived in places that are gray and overcast<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_85_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_85' type='radio' value='2'  id='choice_3_85_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_85_1' id='label_3_85_1'>b. Some; I've lived in less sunny climes at times, but also in places with more regular sun<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_85_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_85' type='radio' value='3'  id='choice_3_85_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_85_2' id='label_3_85_2'>c. Moderate; I've lived in places with a fair amount of sun exposure<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_85_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_85' type='radio' value='4'  id='choice_3_85_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_85_3' id='label_3_85_3'>d. A lot, I've lived in tropical, Northern, or very sunny locales<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_3_86\" class=\"gfield gfield--width-full gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\" ><legend class='gfield_label'  >11. How old do you think you look?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_3_86'>\n\t\t\t<div class='gchoice gchoice_3_86_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_86' type='radio' value='1'  id='choice_3_86_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_86_0' id='label_3_86_0'>a. 1 to 5 years younger than your age<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_86_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_86' type='radio' value='2'  id='choice_3_86_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_86_1' id='label_3_86_1'>b. Your age<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_86_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_86' type='radio' value='3'  id='choice_3_86_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_86_2' id='label_3_86_2'>c. 5 years older than your age<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_86_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_86' type='radio' value='4'  id='choice_3_86_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_86_3' id='label_3_86_3'>d. More than five years older than your age<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_3_87\" class=\"gfield gfield--width-full gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\" ><legend class='gfield_label'  >12. During the last five years, how often have you allowed your skin to tan intentionally or unintentionally through outdoor sports or other activities?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_3_87'>\n\t\t\t<div class='gchoice gchoice_3_87_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_87' type='radio' value='1'  id='choice_3_87_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_87_0' id='label_3_87_0'>a. Never<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_87_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_87' type='radio' value='2'  id='choice_3_87_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_87_1' id='label_3_87_1'>b. Once a month<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_87_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_87' type='radio' value='3'  id='choice_3_87_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_87_2' id='label_3_87_2'>c. Once a week<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_87_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_87' type='radio' value='4'  id='choice_3_87_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_87_3' id='label_3_87_3'>d. Daily<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_3_88\" class=\"gfield gfield--width-full gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\" ><legend class='gfield_label'  >13. How often, if ever, have you been to a tanning bed?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_3_88'>\n\t\t\t<div class='gchoice gchoice_3_88_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_88' type='radio' value='1'  id='choice_3_88_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_88_0' id='label_3_88_0'>a. Never<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_88_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_88' type='radio' value='2'  id='choice_3_88_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_88_1' id='label_3_88_1'>b. 1 to 5 times<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_88_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_88' type='radio' value='3'  id='choice_3_88_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_88_2' id='label_3_88_2'>c. 5 to 10 times<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_88_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_88' type='radio' value='4'  id='choice_3_88_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_88_3' id='label_3_88_3'>d. Many times<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_3_89\" class=\"gfield gfield--width-full gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\" ><legend class='gfield_label'  >14. Over your entire life, how many cigarettes have you smoked (or been exposed to)?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_3_89'>\n\t\t\t<div class='gchoice gchoice_3_89_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_89' type='radio' value='1'  id='choice_3_89_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_89_0' id='label_3_89_0'>a. None<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_89_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_89' type='radio' value='2'  id='choice_3_89_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_89_1' id='label_3_89_1'>b. A few packs<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_89_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_89' type='radio' value='3'  id='choice_3_89_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_89_2' id='label_3_89_2'>c. Several to many packs<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_89_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_89' type='radio' value='4'  id='choice_3_89_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_89_3' id='label_3_89_3'>d. I smoke every day<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_89_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_89' type='radio' value='2.5'  id='choice_3_89_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_89_4' id='label_3_89_4'>e. I've never smoked but I've lived with, been raised bym or worked with people who regularly smoked in my presence<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_3_90\" class=\"gfield gfield--width-full gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\" ><legend class='gfield_label'  >15. Please describe the air pollution where you reside:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_3_90'>\n\t\t\t<div class='gchoice gchoice_3_90_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_90' type='radio' value='1'  id='choice_3_90_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_90_0' id='label_3_90_0'>a. The air is fresh and clean<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_90_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_90' type='radio' value='2'  id='choice_3_90_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_90_1' id='label_3_90_1'>b. For part of the year, but not all of the year, I reside in a place with a clean air<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_90_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_90' type='radio' value='3'  id='choice_3_90_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_90_2' id='label_3_90_2'>c. The air is slightly polluted<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_90_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_90' type='radio' value='4'  id='choice_3_90_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_90_3' id='label_3_90_3'>d. The air is very polluted<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_3_91\" class=\"gfield gfield--width-full gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\" ><legend class='gfield_label'  >16. Please describe the length of time that you have used retinoid facial creams such as retinol, Renova, Retin-A, Tazorac, Differin or Avage:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_3_91'>\n\t\t\t<div class='gchoice gchoice_3_91_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_91' type='radio' value='1'  id='choice_3_91_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_91_0' id='label_3_91_0'>a. Many years<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_91_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_91' type='radio' value='2'  id='choice_3_91_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_91_1' id='label_3_91_1'>b. Occasionally<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_91_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_91' type='radio' value='3'  id='choice_3_91_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_91_2' id='label_3_91_2'>c. Once of acne when I was younger<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_91_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_91' type='radio' value='4'  id='choice_3_91_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_91_3' id='label_3_91_3'>d. Never<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_3_92\" class=\"gfield gfield--width-full gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\" ><legend class='gfield_label'  >17. How often do you currently eat fruits and vegetables?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_3_92'>\n\t\t\t<div class='gchoice gchoice_3_92_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_92' type='radio' value='1'  id='choice_3_92_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_92_0' id='label_3_92_0'>a. At every meal<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_92_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_92' type='radio' value='2'  id='choice_3_92_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_92_1' id='label_3_92_1'>b. Once a day<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_92_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_92' type='radio' value='3'  id='choice_3_92_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_92_2' id='label_3_92_2'>c. Occasionally<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_92_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_92' type='radio' value='4'  id='choice_3_92_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_92_3' id='label_3_92_3'>d. Never<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_3_93\" class=\"gfield gfield--width-full gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\" ><legend class='gfield_label'  >18. Over your lifetime, what percentage of your daily diet has consisted of fruits and vegetables? (Note: don&#039;t count juices unless they are freshly squeezed.)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_3_93'>\n\t\t\t<div class='gchoice gchoice_3_93_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_93' type='radio' value='1'  id='choice_3_93_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_93_0' id='label_3_93_0'>a. 75-100<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_93_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_93' type='radio' value='2'  id='choice_3_93_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_93_1' id='label_3_93_1'>b. 25-75<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_93_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_93' type='radio' value='3'  id='choice_3_93_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_93_2' id='label_3_93_2'>c. 10-25<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_93_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_93' type='radio' value='4'  id='choice_3_93_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_93_3' id='label_3_93_3'>d. 0-25<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_3_94\" class=\"gfield gfield--width-full gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\" ><legend class='gfield_label'  >19. What is your natural skin colour (without tanning or self-tanners)?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_3_94'>\n\t\t\t<div class='gchoice gchoice_3_94_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_94' type='radio' value='1'  id='choice_3_94_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_94_0' id='label_3_94_0'>a. Dark<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_94_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_94' type='radio' value='2'  id='choice_3_94_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_94_1' id='label_3_94_1'>b. Medium<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_94_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_94' type='radio' value='3'  id='choice_3_94_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_94_2' id='label_3_94_2'>c. Light<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_94_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_94' type='radio' value='4'  id='choice_3_94_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_94_3' id='label_3_94_3'>d. Very light<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_3_95\" class=\"gfield gfield--width-full gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\" ><legend class='gfield_label'  >20. What is your ethnicity? (Please choose best answer).<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_3_95'>\n\t\t\t<div class='gchoice gchoice_3_95_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_95' type='radio' value='1'  id='choice_3_95_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_95_0' id='label_3_95_0'>a. African-American\/Caribbean\/Black<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_95_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_95' type='radio' value='2'  id='choice_3_95_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_95_1' id='label_3_95_1'>b. Asian\/Indian\/Mediterranean\/Other<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_95_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_95' type='radio' value='3'  id='choice_3_95_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_95_2' id='label_3_95_2'>c. Latin-American\/Hispanic<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_95_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_95' type='radio' value='4'  id='choice_3_95_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_95_3' id='label_3_95_3'>d. Caucasian<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_3_96\" class=\"gfield gfield--width-full field_sublabel_below field_description_below hidden_label gfield_visibility_visible\" ><legend class='gfield_label gfield_label_before_complex'  >65+<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox' id='input_3_96'><div class='gchoice gchoice_3_96_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_96.1' type='checkbox'  value='5'  id='choice_3_96_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_96_1' id='label_3_96_1'>If you are 65 years or older<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_3_73\" class=\"gfield gfield--width-full gfield_calculation field_sublabel_below field_description_below gfield_visibility_hidden\" ><div class='admin-hidden-markup'><i class='gform-icon gform-icon--hidden'><\/i><span>Hidden<\/span><\/div><label class='gfield_label' for='input_3_73' >Scoring of W vs T<\/label><div class='ginput_container ginput_container_number'><input name='input_73' id='input_3_73' type='text'    value='' class='large'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_3_72' class='gform_previous_button button' value='Previous'  onclick='jQuery(\"#gform_target_page_number_3\").val(\"3\");  jQuery(\"#gform_3\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_3\").val(\"3\");  jQuery(\"#gform_3\").trigger(\"submit\",[true]); } ' \/> <input type='button' id='gform_next_button_3_72' class='gform_next_button button' value='Next'  onclick='jQuery(\"#gform_target_page_number_3\").val(\"5\");  jQuery(\"#gform_3\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_3\").val(\"5\");  jQuery(\"#gform_3\").trigger(\"submit\",[true]); } ' \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_3_5' class='gform_page' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_3_5' class='gform_fields top_label form_sublabel_below description_below'><div id=\"field_3_98\" class=\"gfield gfield--width-full gf_readonly field_sublabel_below field_description_below gfield_visibility_visible\" ><label class='gfield_label' for='input_3_98' >Your skin type<\/label><div class='ginput_container ginput_container_text'><input name='input_98' id='input_3_98' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_3_99\" class=\"gfield gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible\" ><p>As far as secretions are concerned, your skin is oily. It is also somewhat sensitive. You have or have had, depending on your age, acne breakouts, permanent or temporary redness. You tend skin eruptions and inflammation. At the pigmentary level, your skin bears the marks (pigmentary spots) of your skin eruptions due to inflammation. The signs of time can be seen or will arrive more quickly on your skin. To preserve your youthfulness, be vigilant with sun exposure and your lifestyle. At B-BOX Beauty, we believe that working on these 4 aspects of the skin simultaneously allows for comprehensive skincare to achieve long-term results. <\/p>\n<p>Have we piqued your curiosity? Would you like to learn more about the ingredients to use and those to avoid in your cosmetics? Then register your email address and we'll send you a free personalized list of ingredients and a B-BOX beauty routine adapted to your skin type. \n(You can unsubscribe at any time)<\/p>\n<\/div><div id=\"field_3_102\" class=\"gfield gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible\" ><p>Your skin is oily. It also presents a certain sensitivity. You have or have had, depending on your age, acne outbreaks, permanent or temporary redness. You tend skin eruptions and inflammation. The inflammatory problems associated with this type are often followed by hyperpigmentation of the areas of the skin that have been affected by the pimples or skin irritation. However, this type of skin is less likely to wrinkle than other types due to the increased pigmentation of the skin which protects it from premature ageing. You will benefit from adopting good lifestyle habits and avoiding exposure to the sun without sun protection. At B-BOX Beauty, we believe that working on these 4 aspects of the skin simultaneously allows for a comprehensive skincare program to achieve long-term results. <\/p>\n<p>Have we piqued your curiosity? Would you like to learn more about the ingredients to use and those to avoid in your cosmetics? Then register your email address and we'll send you a free personalized list of ingredients and a B-BOX beauty routine adapted to your skin type. \n(You can unsubscribe at any time)<\/p>\n<\/div><div id=\"field_3_103\" class=\"gfield gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible\" ><p>Your skin is oily. It also has a certain sensitivity. You tend rashes and inflammation. Your skin often presents redness, irritation, and flushing. Your skin has less protective pigmentation and therefore tends to wrinkle more quickly. It is therefore essential to maintain your skin's youthful appearance by adopting a healthy lifestyle and avoiding sun exposure without adequate protection. At B-BOX Beauty, we believe that by working on these 4 aspects of the skin simultaneously, it allows for a comprehensive skincare program to obtain conclusive and long-term results. <\/p>\n<p>Have we piqued your curiosity? Would you like to learn more about the ingredients to use and those to avoid in your cosmetics? Then register your email address and we'll send you a free personalized list of ingredients and a B-BOX beauty routine adapted to your skin type. \n(You can unsubscribe at any time)<\/p>\n<\/div><div id=\"field_3_104\" class=\"gfield gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible\" ><p>Your skin is oily. It also has a certain sensitivity. You tend rashes and inflammation. Your skin is often red, irritated, and flushed. The good news is that both conditions will improve over time if you adopt a healthy lifestyle and avoid unprotected sun exposure. Plus, you're blessed with firm skin that doesn't let time take its toll easily. Protect it well and you'll keep your skin looking youthful, making many people jealous. At B-BOX Beauty, we believe that by working on these 4 aspects of the skin simultaneously, we can take care of your skin in a comprehensive way to achieve long-term results. <\/p>\n<p>Have we piqued your curiosity? Would you like to learn more about the ingredients to use and those to avoid in your cosmetics? Then register your email address and we'll send you a free personalized list of ingredients and a B-BOX beauty routine adapted to your skin type. \n(You can unsubscribe at any time)<\/p>\n<\/div><div id=\"field_3_105\" class=\"gfield gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible\" ><p>As far as secretions are concerned, your skin is oily. It has good resistance, so it rarely shows redness or signs of sensitivity. You have a strong pigmentation that tends to leave brownish marks (pigmentary spots) or solar lentigos if you do not adopt good sun protection practices. In addition, because of its resistance and your strong pigmentation, your skin type tends to wrinkle and lose its firmness more quickly, because it does not give you any sign of distress. It is therefore essential to adopt an appropriate beauty routine and apply sun protection daily to preserve your youthful appearance. At B-BOX Beauty, we believe that by working on these 4 aspects of the skin simultaneously, we can take care of your skin in a comprehensive manner and achieve conclusive, long-term results. <\/p>\n<p>Have we piqued your curiosity? Would you like to learn more about the ingredients to use and those to avoid in your cosmetics? Then register your email address and we'll send you a free personalized list of ingredients and a B-BOX beauty routine adapted to your skin type. \n(You can unsubscribe at any time)<\/p>\n<\/div><div id=\"field_3_106\" class=\"gfield gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible\" ><p>In terms of secretions, your skin is oily. It has good resistance, so it rarely shows redness or signs of sensitivity. You have a strong pigmentation that tends to leave brownish marks (pigmentary spots) or solar lentigos if you do not adopt good sun protection practices. However, this type of skin is less prone to wrinkling than other types due to the increased pigmentation of the skin which protects it from premature ageing. You will benefit from adopting good lifestyle habits and avoiding sun exposure without sun protection. At B-BOX Beauty, we believe that working on these 4 aspects of the skin simultaneously allows for a comprehensive skincare program to achieve long-term results. <\/p>\n<p>Have we piqued your curiosity? Would you like to learn more about the ingredients to use and those to avoid in your cosmetics? Then register your email address and we'll send you a free personalized list of ingredients and a B-BOX beauty routine adapted to your skin type. \n(You can unsubscribe at any time)<\/p>\n<\/div><div id=\"field_3_107\" class=\"gfield gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible\" ><p>In terms of secretions, your skin is oily. It has good resistance, so it rarely shows redness or signs of sensitivity. However, due to less protective skin pigmentation, you tend to develop fine lines and wrinkles more quickly. It is therefore essential to adopt good sun protection practices and a healthy lifestyle. Your skin has a strong protective barrier so you can afford to use products with higher concentrations of low molecular weight anti-ageing ingredients. This type of concentration combined with the right sun protection will help you maintain your youthful appearance. At B-BOX Beauty, we believe that working on these 4 aspects of the skin simultaneously allows for a comprehensive skin care program to obtain conclusive and long-term results. <\/p>\n<p>Have we piqued your curiosity? Would you like to learn more about the ingredients to use and those to avoid in your cosmetics? Then register your email address and we'll send you a free personalized list of ingredients and a B-BOX beauty routine adapted to your skin type. \n(You can unsubscribe at any time)<\/p>\n<\/div><div id=\"field_3_108\" class=\"gfield gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible\" ><p>In terms of secretions, your skin is oily. It has good resistance, so it rarely shows redness or signs of sensitivity. Thanks to your secretions, your skin maintains its youthfulness. With a healthy lifestyle and good sun protection habits, you'll keep this beautiful advantage for a long time. At B-BOX Beauty, we believe that working on these 4 aspects of the skin at the same time allows us to take care of the skin in a holistic manner to achieve long-term results. <\/p>\n<p>Have we piqued your curiosity? Would you like to learn more about the ingredients to use and those to avoid in your cosmetics? Then register your email address and we'll send you a free personalized list of ingredients and a B-BOX beauty routine adapted to your skin type. \n(You can unsubscribe at any time)<\/p>\n<\/div><div id=\"field_3_109\" class=\"gfield gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible\" ><p>Your skin lacks secretion and shows signs of dryness. You have sensitive skin that can cause rashes, redness and\/or flushing. These inflammatory problems are often followed by the appearance of pigment spots where the pimples or skin irritation occurred. Your skin's protective barrier is weak, making it more susceptible to breakouts, dehydration and the formation of fine lines and wrinkles. It is therefore important to strengthen your skin barrier to maintain your natural moisture factor and to make sure you apply good sun protection daily. At B-BOX Beauty, we believe that working on these 4 aspects of the skin simultaneously allows for a comprehensive skin care program to achieve long-term results. <\/p>\n<p>Have we piqued your curiosity? Would you like to learn more about the ingredients to use and those to avoid in your cosmetics? Then register your email address and we'll send you a free personalized list of ingredients and a B-BOX beauty routine adapted to your skin type. \n(You can unsubscribe at any time)<\/p>\n<\/div><div id=\"field_3_110\" class=\"gfield gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible\" ><p>Your skin is lacking in secretion and shows signs of dryness. You have sensitive skin that can cause rashes, redness and\/or flushing. These inflammatory problems are often followed by the appearance of pigment spots where the pimples or skin irritation occurred. Your skin's protective barrier is weak, making it more susceptible to breakouts and dehydration. It is therefore important to strengthen your skin barrier to maintain your natural moisture factor and to make sure you apply good sun protection daily. At B-BOX Beauty, we believe that working on these 4 aspects of the skin simultaneously allows for comprehensive skincare to achieve long-term results. <\/p>\n<p>Have we piqued your curiosity? Would you like to learn more about the ingredients to use and those to avoid in your cosmetics? Then register your email address and we'll send you a free personalized list of ingredients and a B-BOX beauty routine adapted to your skin type. \n(You can unsubscribe at any time)<\/p>\n<\/div><div id=\"field_3_111\" class=\"gfield gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible\" ><p>Your skin is lacking in secretion and shows signs of dryness. You have sensitive skin that can cause rashes, redness and\/or flushing. These inflammatory problems are often followed by the appearance of pigment spots where the pimples or skin irritation occurred. Your skin's protective barrier is weak, making it more susceptible to breakouts, dehydration and the formation of fine lines and wrinkles. Due to your less protective skin pigmentation, it is important to adopt good sun care practices by applying a suitable sun protection product daily. Doing so will help you avoid developing pigmentation spots and help maintain your youthful appearance. At B-BOX Beauty, we believe that working on these 4 aspects of the skin simultaneously allows for a comprehensive skin care program to achieve long-term results. <\/p>\n<p>Have we piqued your curiosity? Would you like to learn more about the ingredients to use and those to avoid in your cosmetics? Then register your email address and we'll send you a free personalized list of ingredients and a B-BOX beauty routine adapted to your skin type. \n(You can unsubscribe at any time)<\/p>\n<\/div><div id=\"field_3_112\" class=\"gfield gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible\" ><p>Your skin lacks secretion and shows signs of dryness. You have sensitive skin that can bring on rashes, redness and\/or flushing. Your skin's protective barrier is weak, making it more susceptible to rashes and dehydration. It is therefore essential to strengthen your skin barrier to maintain your natural hydration factor and to make sure you apply good sun protection daily. On the other hand, your skin will not be easily marked by time, which is a good thing for you. At B-BOX Beauty, we believe that working on these 4 aspects of the skin simultaneously allows us to take care of the skin in a holistic way to achieve long-term results. <\/p>\n<p>Have we piqued your curiosity? Would you like to learn more about the ingredients to use and those to avoid in your cosmetics? Then register your email address and we'll send you a free personalized list of ingredients and a B-BOX beauty routine adapted to your skin type. \n(You can unsubscribe at any time)<\/p>\n<\/div><div id=\"field_3_113\" class=\"gfield gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible\" ><p>Your skin lacks secretion and shows signs of dryness. However, it is resistant and very rarely shows signs of sensitivity. However, you are more prone to developing pigment spots and solar lentigos, so it is essential to adopt good sun care practices and apply sun protection daily. You have a good protective barrier, but you need to increase your natural moisture factor to prevent fine lines and wrinkles. Your best allies are a routine focused on anti-ageing ingredients and the right sun protection. At B-BOX Beauty, we believe that working on these 4 aspects of the skin simultaneously allows us to take care of the skin in a holistic way to achieve long-term results.<\/p>\n<p>Have we piqued your curiosity? Would you like to learn more about the ingredients to use and those to avoid in your cosmetics? Then register your email address and we'll send you a free personalized list of ingredients and a B-BOX beauty routine adapted to your skin type. \n(You can unsubscribe at any time)<\/p>\n<\/div><div id=\"field_3_114\" class=\"gfield gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible\" ><p>Your skin is lacking in secretion and showing signs of dryness. However, it is resistant and very rarely shows signs of sensitivity. However, you are more prone to developing pigment spots and solar lentigos, so it is essential to adopt good sun care practices and apply sun protection daily. On the other hand, your skin is not easily marked by time, which is an excellent positive point for you. At B-BOX Beauty, we believe that working on these 4 aspects of the skin simultaneously allows for a comprehensive skin care program to achieve long-term results. <\/p>\n<p>Have we piqued your curiosity? Would you like to learn more about the ingredients to use and those to avoid in your cosmetics? Then register your email address and we'll send you a free personalized list of ingredients and a B-BOX beauty routine adapted to your skin type. \n(You can unsubscribe at any time)<\/p>\n<\/div><div id=\"field_3_116\" class=\"gfield gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible\" ><p>Your skin lacks secretion and shows signs of dryness. However, it is resistant and very rarely shows signs of sensitivity. Due to your less protective skin pigmentation, it is important to adopt good sun care practices by applying a suitable sun protection product daily. Doing so will help you maintain your youthful appearance and prevent the formation of fine lines and wrinkles. At B-BOX Beauty, we believe that by working on these 4 aspects of the skin simultaneously, we can provide comprehensive skin care for long-term results. <\/p>\n<p>Have we piqued your curiosity? Would you like to learn more about the ingredients to use and those to avoid in your cosmetics? Then register your email address and we'll send you a free personalized list of ingredients and a B-BOX beauty routine adapted to your skin type. \n(You can unsubscribe at any time)<\/p>\n<\/div><div id=\"field_3_115\" class=\"gfield gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible\" ><p>Your skin is lacking in secretion and showing signs of dryness. However, it is resistant and very rarely shows signs of sensitivity. Due to your less protective skin pigmentation, it is essential to adopt good sun care practices by applying adapted sun protection daily. Your skin has a strong protective barrier. Look for products with a lower molecular weight and higher concentrations of active ingredients. At B-BOX Beauty, we believe that working on these 4 aspects of the skin simultaneously allows for comprehensive skincare to achieve successful, long-term results. <\/p>\n<p>Have we piqued your curiosity? Would you like to learn more about the ingredients to use and those to avoid in your cosmetics? 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