Beautycounter Sample Request Form
Please complete this form so I can customize your sample needs.
*If you have not taken the skincare quiz yet, start here:
Make sure you have the results sent to your consultant "Hayden Smith" at the end. That will prompt me to put your samples together.
What is your Instagram handle?
What best describes you?
I have never shopped Beautycounter
I currently shop Beautycounter with Hayden Smith
I currently shop Beautycounter with another Consultant
What are you most interested in?
Which regimen did the skincare quiz recommend for you? (see link to quiz in introduction above)
CounterTIME - anti-aging regimen
CounterMATCH - advanced hydration & age prevention
CounterCONTROL - oily/blemish prone skin care
CounterSTART - streamlined starter regimen for sensitive skin
CounterMAN - our men's skin care line
Is there a man in your home that would benefit from safer products and would be up for sampling our CounterMAN regimen?
Which other best sellers are you interested in trying?
Overnight Resurfacing Peel (our #1 best-selling product)
Cleansing Balm (our #2 best-selling product)
All Bright C Serum
Charcoal Facial Mask
Tint Skin Foundation
Dew Skin Tinted Moisturizer (best seller with SPF 20)
Anything else I should know as I put your request together? (i.e. allergies, sensitivities, concerns, or feel free to share about your current skincare routine or products you are using)
Have you ever considered joining our mission in a more meaningful way as a consultant?
Actually, YES will you send me some information?
I haven't thought about it but 25% off safer products, some extra cash, and being a part of something BIG sounds fun! Send info my way!
Not yet – want to play with products first!
Not me, but I may know the PERFECT person!
No thanks but I love supporting you and the mission!
Send me a copy of my responses.
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