Green Your Beauty Routine with Veronica ~ Skin Questionnaire  |  Alex + Von
Thank you for taking the time to fill out this skincare questionnaire. Your answers will help me to recommend the correct products for your skin type. If you have any questions, please feel free to contact me at colormegreen2@yahoo.com. In the meantime, please feel free to browse my website at http://alexandvon.com/veronica or facebook at http://www.facebook.com/GreenYourBeautyRoutine.
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Phone Number
Email Address *
Name *
What is your age range?
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What is your skin tone?
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Would you describe your skin as...
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Do you have sensitive skin?
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Please describe your breakout activity...
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Are you prone to blackheads and clogged pores?
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Do you have sun spots or age spots?
Do you wear sunscreen daily?
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Do you have any facial lines?
Have you experienced loss of firmness and/or elasticity?
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How would you describe your daily cleanser?
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Do you have any of the following conditions?
What problem area on your skin would you like to focus on first? ( acne, sunspots, wrinkles, etc)
What product categories are you interested in?
Are you using any prescriptions on your skin?
This is important, so i don't recommend any product that may interact with a prescription.
Do you know of anybody else that may be interested in Natural, Organic and Eco-Friendly skincare, cosmetics, haircare or wall decor from our Alex+Von brands?
If so, please leave name and email address.  This info will not be shared with 3rd party vendors and contacts will not be spammed.
Do you have any food allergies?  This is important so i don't recommend anything with potential allergens ( some people are allergic to strawberries for example)
Are there any other skin problems or conditions I should be aware of?
Interested in hosting a party for 15-35% off discounts and FREE products? *
Would you like to be added to my monthly mail list for alex+von info/specials, green topics, tips, makeup how-to’s,  and givewaway info? *
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