Palmolive Body Wash Hamper

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First Name *

Last Name *

Mobile Number *

Date of Birth *

Email Address *

State *

Gender*

Male

Female

Other

Which body wash do you use currently?*

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Dove

Fiama

Lux

Nivea

Pears

Others

What kind of fragrance do you look for in a body wash?*

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Floral

Fruity

Citrus / Fresh

Oriental / Woody

Unscented

Aqua

Others

Your weekly routine consists of which of these following things?*

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Fitness

Beauty / skincare / makeup routine

Salon / spa

Eating out in a restaurant

Shopping - Gourmet food / makeup / skincare products

Theatre / comedy shows / movies / music festivals

Others

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