Request edit access
Beautycounter Skin Care Consultation
This is such a great way to figure out what products and/or regimen is best suited to get you that unicorn skin we all desire.
By filling out this short survey/consultation, you are providing me with the information I need to make simple recommendations for any issues you might be experiencing.
So let's get you on the path to skin that looks and feels its best!
Name *
Email *
What would you consider to be your skin type? *
1 point
Do you have any of the following skin concerns? (Check as many that apply to you) *
If you have had a reaction to skin care products before, please tell me more about what products and symptoms you exhibited. *
1 point
What does your current skin care routine consists of? (Please be detailed & list when you use products. For example, morning or night, the order of application, and the company) *
Do you have a budget in mind? If so, what range would you like to stay in to get started? (Keep in mind I will provide you with three options that will allow you to pick & choose products to stay within budget - because trust me, we ALL understand budget!) *
Are you interested in hearing about our cosmetic line and recommendations on product?
If interested in cosmetics, please tell me a little big about which products you currently use and would be interested in replacing with safer options.
Please list any other concerns or questions you might have here. I'm happy to lend as much support as I can!
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service