Safer Skincare Consult
Full Name
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Email
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Which best describes your skin type?
Do you have any of the following skin concerns? (check as many that may apply)
If you had a reaction in the past to skin care products, please share more about what products and symptoms you experienced
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What does your current skincare routine look like and consist of? Please list time of day used, order of application, and brand.
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Do you have a budget in mind? If so, what range would you like to stay in to get started (keep in mind I will provide you with three options that will allow you to pick and choose products to stay within budget)
Are you interested in learning about our safer cosmetic line and receiving a recommendation?
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 right now.
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Please list any other concerns and/or questions you may have here. I am here to help and support you!
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