LINK (click the “Pide tu muestra” button and fill out the form on the following page)
Nombre – First Name
Apellido – Last Name
Direccin – Address
Direccin 2 – Address 2 (optional)
Ciudad – City
Estado – State
Cdigo Postal – Zip
Telfono – Telephone
Correo Electrnico – Email
Fecha de Nacimiento = Birthdate
Estado Civil – Marital Status
Sexo – Sex (Hombre – Male, Mujer – Female)
The questions (translated to the best of my ability):
1. Which antipersperant/deodorant have you used in the last year (choose all that apply)?
2. Which of the following describes your skin type? (Choose one) Sensitive, Oily, Dry, Combination
3. What is your favorite source for information on wellness & beauty? (Choose one) TV, Internet, Magazines, Mail, Other
4. Where do you purchase personal care products? (Choose one) Retail store, Pharmacy, Superstore (WalMart, Target, Kmart, etc.), Internet, Other
The two checkboxes basically say “Yes, I would like to receive info & offers” or “Yes, I would like to receive info & offers, but only from Degree.”