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Skin Care Consultation
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Name
*
Your answer
IG handle
*
Your answer
Phone #
Your answer
Do you have?
*
Dry skin
Oily Skin
Combination skin
Age Spots?
Your answer
Fine lines and wrinkles?
Your answer
Acne/ black head or. big pores?
Your answer
Discoloration in skin tone?
Yes
No
Clear selection
Dark circles or puffiness under eyes?
Yes
No
Clear selection
Need tightening/ firming?
Yes
No
Clear selection
What don't you like about your skin?
Your answer
Skin goals?
Your answer
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