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Angie's Beautycounter Skin Care Consultation Questionnaire
This is the best and easiest way to nail down the regimen your skin needs to look and feel its best.  By answering this short list of questions, I can customize simple recommendations based on any concerns/needs you may have.  

In the meantime, you can sign up for my skincare newsletter HERE:  https://bit.ly/3c8OQTk

You'll get information about how to take care of your skin and if you've never purchased Beautycounter, you'll get 20-30% off promo code.  

I am excited to get you started!  

Thanks!  
Angie
angiebloom.com

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Email *
Your Name:   *
Address so I may send you the samples via US Postal Service *
Did you drop your e-mail address for my skincare emails?  If not, click the following link to sign up:  https://bit.ly/3c8OQTk *
Do you have a consultant you already shop with?   *
Have you purchased Beautycounter products before? *
Phone Number (so I can text you about promos!)   *
How old are you?   *
What would you consider to be your skin type?
Clear selection
Do you have any of the following skin concerns? (check as many that apply to you)
If you selected SENSITIVE SKIN or have had a reaction to skin care products before, please tell me more about what products and what happened.   *
Please list any allergies. *
What does your current skin care routine consist of? Please tell me morning and night, order of application, and brand of product
Have you seen a dermatologist or esthetician in the last 12 months? *
If you answered yes to the question above, please explain here *
How curious are you about non-toxic products for yourself/your family? *
Do you have a budget in mind if you decide to buy? If so, what range would you like to stay in to get started? Keep in mind I will provide 3 options for you to pick and choose products to stay within the budget - this is the fun part!
Clear selection
Are you interested in hearing about our cosmetic line and recommendations?
Clear selection
If interested in cosmetics, please tell me a little more about which products you currently use and would be interested in replacing with a safer options.
Please list any other concerns or questions you might have here. Happy to lend as much support as I can!
Are you interested in learning about the consultant opportunity?  (There are some FAQs here:  https://www.angiebloom.com/blog/what-its-really-like-being-a-beautycounter-consultant-why-i-joined?rq=consultant *
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