Sarah Anne Inspired! - Skincare Questionnaire

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Hello! So glad you are here! I would love to help you get started with skincare that works for YOU! :) Fill out this information below and I will get back to you ASAP with your personalized recommendations!

In the meantime, sign up for my beauty bulletin newsletter + get a freebie here!: https://bit.ly/2Wu2huN

You'll get more information and fun tips about how to take care of your skin! If you've never purchased Beautycounter, then you'll also get a 30% off promo code as well to use on your first order! :)

We will connect soon!
xoxo, Sarah

E-mail address *

Mailing address that you would like your samples sent to! *

Your Name *

Do you have a consultant you already shop with? *

Yes, I plan to shop with them.

No, I plan to shop with you.

Have you purchased Beautycounter products before? *

Yes

What is your gender? *

How old are you?

Under 18

18-24

25-29

30-34

35-45

46+

Clear selection

What would you consider to be your skin type? *

Normal (no or few blemishes, balanced, etc.)

Oily (dull or shiny complexion, blackheads and breakouts more common, large pores common)

Dry (dull or rough complexion, irritation common, flaky)

Combination (areas of both dry and oily skin usually along the forehead, nose, and chin)

Sensitive (does not tolerate many products well , redness, irritation, itchy, burning common)

What's your primary skin concern? *

Active acne / too much oil

Dryness

Anti-aging

Other:

What is your secondary skin concern? *

Dullness

Redness

Large pores

Skin spots / Discoloration

Fine lines / Wrinkles

Acne scars

Eczema

Other:

If you have had a reaction to skin care products before, please tell me more about what products and what happened.

Do you have a budget in mind? If so, what range would you like to stay in to get started? *

Less than $50

$50-$100

$100-$150

$200+

I am open!

Are you interested in hearing about our makeup line?

Yes

Maybe

Clear selection

Are you interested in learning more about the clean beauty movement and becoming a consultant? *

Yes, I want to become a part of this incredible movement!

No, not right now.

Maybe, I need to think about it!

What's your favorite color? *

Anything else you think I should know so that I can best serve you? Let me know! :)

Submit

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