sample test feedback form

The use of any product sample is entirely voluntary and at the user’s own discretion. JKSPACE makes no guarantees regarding product performance, suitability, or outcomes. Any use of the product sample is undertaken at the user’s own risk.*

I have read, understood, and agree to the above statement.

Name*

Age Range*

18 -25

26 - 35

36 - 45

46 - 55

56 +

Skin Type*

Oily

Dry

Combination

Sensitive

Normal

Skin Tone*

Fair

Medium

Tan

Deep

Email*

Brand Name*

Product Category*

Skincare / Cosmetics

Hair Care (Shampoo, Treatment)

Household / Hygiene (Antibacterial wipes, etc.)

Body / Hand / Perfume

Other

First Impression*

Excellent

Good

Average

Poor

Very Poor

Texture / Spread ability

Excellent

Good

Average

Poor

Absorption Speed

Fast

Moderate

Slow

Residue (Stickiness / Oiliness)

None

Mild

Noticeable

Scent Preference

Excellent

Good

Neutral

Poor

Too Strong

Skin Irritation

None

Mild

Strong

Short - Term Effect (1-3 days)

Hydration

Soothing

Brightening

No noticeable change

Negative reaction (e.g, breakout)

Immediate Effects Noticed

U.S consumer appeal of the design

Excellent

Good

Average

Weak

Needs Improvement

Directions clarity

Very Easy

Easy

Average

Difficult

Would you continue using this product?

Definitely

Likely

Neutral

Unlikely

No

Would you recommend this to a friend?

Yes

Maybe

No

What did you like?

What should be Improved?

Other comments

U.S Consumer Test Feedback Form