Beautycounter Consultation Form
Would you like a complimentary skincare consult and/or color matching session? Do you have questions about how to use a product or which products are right for your skin? Simply fill out the form below to schedule your one on one virtual consultation.
Depending on how much you'd like to go over consults can be scheduled for anywhere from 15 minutes to one hour. We want to make sure you are comfortable and understand how to use everything, as it can be overwhelming!
After you complete your consult, you'll receive a $10 credit towards your next Beautycounter order with Emily or Liz. Enjoy!!
Name (First & Last)
Cell Phone Number
What are you most interested in?
All of the above
I would consider my skin:
My primary skin concerns are: (Please Select 2)
Lines and Wrinkles
Loss of Firmness
Uneven Skin Tone / Dark Spots
Have you tried Beautycounter products before?
Yes, but I have never purchased before.
Yes, and I have purchased.
If you purchased Beautycounter products in the past, which of our multi-channel platforms did you purchase through?
I purchased online through the
website directly, without shopping through a consultant.
I purchased through a Consultant - either through their website or I attended an event/social/pop up where a Consultant shared information and I made a purchase.
I purchased at one of the retail locations: Nantucket, NYC, Denver, Seasonal-Boston Seaport
I purchased at one of the 3rd Party Retail Partnerships: Sephora, Goop, Target, J.Crew, Serena + Lily,
They were gifted to me.
I have never purchased them.
Please select the day that works best for you!
Please select your preferred consultation time slot:
Morning (9 am - 12 pm ET)
Afternoon (12 pm - 5 pm ET)
Evening (5 pm - 8 pm ET)
Emily or Liz will be reaching out to you shortly to schedule your consultation. Please add any further questions/comments below!
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service