Application | Doctor Hopiola Radiance Proof Project

Welcome to the Radiance Proof Project Application.

This is a guided four-week skincare journey designed to show what a natural, intentional, two-step routine can truly do. If accepted, you’ll receive the Doctor Hopiola Radiance Set, follow a simple daily routine, and document your experience through weekly photos and videos.

There is no financial investment to participate. Your commitment, consistency, and honesty are your contribution.

Participation is limited and acceptance is not guaranteed. We’re looking for people who are willing to pause other skincare products, show up weekly, and share their real skin journey from start to finish.

If that sounds like you, we’d love to learn more.

A four-week guided skincare journey with Doctor Hopiola

SECTION 1: ABOUT YOU

Name(Required)

First Last

Email Address(Required)

Used for acceptance, instructions, and weekly reminders.

Mobile Phone Number(Required)

SMS reminders are part of this guided program.

Mailing Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Where your Radiance Set will be shipped if accepted.

SECTION 2: YOUR SKIN PROFILE

What are your primary skin concerns right now?(Required)

Dryness or dehydration

Fine lines or early signs of aging

Dull or uneven tone

Texture or roughness

Sensitivity or redness

Breakouts or congestion

Loss of firmness

Other

Other skin concern (please specify)

How would you describe your skin type?(Required)

Dry

Normal

Combination

Oily

Sensitive

Unsure

Are you pregnant or breastfeeding?(Required)

Yes

This does not disqualify you. It helps us guide product use thoughtfully.

Do you have any known skin allergies or sensitivities?

Have you ever reacted poorly to skincare ingredients (retinol, AHAs/BHAs, vitamin C, essential oils, etc.)?

Do you have any allergies to bees or bee-derived ingredients (including honey, propolis, or beeswax)?(Required)

Yes, I have a bee or bee-product allergy

The Radiance Set contains propolis, a natural ingredient produced by bees. It’s well tolerated by most people but not safe for those with bee-related allergies or sensitivities. If you have known sensitivities, please review ingredient lists carefully and perform a patch test before use.

What skincare products are you currently using?(Required)

Please list moisturizers, serums, treatments, oils, retinol, vitamin C, acids, or anything you apply regularly.

During the Radiance Proof Project, you may continue using your current cleanser, but you must pause all other skincare products for the full 4 weeks. Are you able to follow this requirement?(Required)

Yes, I agree

No, I cannot

SECTION 3: PARTICIPATION READINESS

Why are you interested in joining the Radiance Proof Project? What do you hope to improve or experience?(Required)

Are you willing to commit to weekly check-ins that include structured photos and a short video update?(Required)

Yes

Are you able to follow the photo guidelines each week (consistent lighting, natural expression, four angles)?(Required)

Yes

Are you willing to complete all four weeks of the program?(Required)

Yes

SECTION 4: VIDEO INTRODUCTION

Please upload a short video introducing yourself.(Required)

Accepted file types: mp4, mov, webm, m4v, Max. file size: 2 GB.

In your video, please share why you’d like to participate, what you hope to improve, and what this journey means to you.

SECTION 5: PERMISSIONS & CONSENT

To participate, you must agree to allow Doctor Hopiola to use your submitted photos, videos, and written check-ins for marketing and educational purposes. Do you agree?(Required)

Yes, I agree

No, I cannot participate

The Radiance Proof Project is designed to document the experience of using a natural, intentional, two-step routine.

If we use your content, would you like to be tagged in social posts? If yes, please provide your Instagram or TikTok handle.

SECTION 6: PROGRAM AGREEMENT

If selected, I agree to:

Program Agreement(Required)

Pause all skincare products except my regular cleanser and/or sunscreen for the entire 4-week program

Follow the Radiance Set routine as instructed

Submit weekly photos and videos according to the guidelines

Maintain consistent lighting and angles for all submissions

Provide honest weekly reflections

Complete all four weeks of the program

Respond promptly to communication from the Doctor Hopiola team

Agreement(Required)

By signing below, I agree to the terms and conditions set forth in the program agreement. I have read the program FAQ and have reviewed the ingredient list to ensure I have no known allergies or sensitivites to the ingredients in the Doctor Hopiola Radiance Set.

Signature(Required)

SECTION 7: FINAL SUBMISSION

How did you hear about the Radiance Proof Project?

Instagram

TikTok

Facebook

Friend/Referral

Other

Other (please specify)

RADIANCE PROOF PROJECT

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