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Free Skin Consultation!
Take a few minutes to fill out these questions below and I will get you started on a new skincare routine that works best for you!
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First and last name
Your answer
Email address
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Your answer
Birthday
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DD
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YYYY
Phone Number (you will not be contacted via phone unless I am told to do so)
Your answer
My skin is:
*
Normal: neither dry, nor oily, or sensitive
Oily: skin looks shiny and pores are visable
Combination: skin feels dry and tight, pores are visible
Sensitive: skin is delicate and responsive to changes
Dry: skin feels and looks dry and needs more moisture
Other:
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What are your main skin concerns?
*
Sun damage
Fine lines and wrinkles
Age/dark spots
Loose or baggy skin
Large/open pores
Discoloration
Dark circles/puffiness around the eyes
Other:
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Do you have medical skin conditions?
*
Acne
Eczema
Psoriasis
Dermatitis
Roseasea
Option 6
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Do you have specific allergies to fruit or plant based ingredients that you are aware of?
*
Your answer
What are your skin goals?
Your answer
Do you wear makeup?
*
Yes
No
How would you like me to contact you with recommendations?
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Email
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Other:
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