take the azap product test
1. First Name: *
Last Name: *
2. Email: *
3. Address:
5. City:    State: Zip:
5. Age:    Gender:
6. Are you in school or do you work?
7. Would you say you have a normal sleep pattern?
8. How many total hours do you sleep?
9. Would you consider your skin oily?
10. How many hours per day do you spend in the sun?
11. How many breakouts(pimples) are you seeing per week?
12. Do you squeeze & pick at red bumps that don’t go away or produce pus?
13. Have you taken Accutane in the last 6 months?
   
 
 
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