Made With Bliss Skincare Questionnaire
Please fill out this quick questionnaire and I'll get back to you ASAP with recommendations specific to your skin type!

Thanks!
Alaina
www.madewithblissblog.com
Email *
1. Your name: *
What's your gender? *
2. How old are you?
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3. What would you consider to be your skin type? *
4a. What's your primary skin concern? *
4b. What are your secondary skin concerns? *
Required
5. If you have had a reaction to skin care products before, please tell me more about what products and what happened.
6. What does your current skincare routine consist of? (Please list the brand/company and what you like/dislike) *
7. Do you have a budget in mind? If so, what range would you like to stay in to get started? *
8. Are you interested in hearing about our makeup line and recommendations on product? *
9. If interested in cosmetics, please tell me a little bit about which products you currently use and would be interested in replacing with safer options. *
10. Are you interested in becoming a consultant? *
Please list any other concerns or questions you might have here. Happy to help! *
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