Makeup + Skincare Consultation Questionnaire
Finding the right products for your skin can be tricky! Let me help you take the guesswork out of it.

Please answer the following questions to the best of your ability so I can send you personalized recommendations from Beautycounter’s makeup and skincare collections that are free of common irritants and toxins.

Beautycounter is a beauty brand that offers clean makeup and also talks with Congress about the dangers of mainstream cosmetics. We're making moves to change regulations for the ENTIRE industry. Because EVERYONE deserves better.

Did you know? By switching to safer, you can reduce the toxic load in your body, which helps your body function more optimally and efficiently! It’s a smart decision for your, and your family’s, health.

Switching to safer products doesn’t have to be overwhelming, or cost a fortune! Together, we’ll find what works best for your skin type and budget.

Thank you for taking the time to complete this questionnaire.

Cheers!
Wendy

Full Name *
Your answer
Email Address *
Your answer
If you were introduced to me via Instagram, what is your Instagram handle? I'd like to follow you too! *
Your answer
May I email you about Beautycounter promotions, events and new product launches? *
Select the option that best describes your skin type: *
Do you have acne prone skin? *
Please select the concerns that apply to you and that you’d like to address: *
Required
Have you had a reaction to makeup or skincare products in the past? If so, please indicate which products caused this type of reaction and the symptoms you experienced. *
Your answer
What does your current MAKEUP routine consist of? Please list, in order of application, the brand name and product name. *
Your answer
What do you like about your current MAKEUP routine and/or collection? What don’t you like about it? *
Your answer
What does your current SKINCARE routine consist of? Please list, in order of application, the brand name and product name. *
Your answer
What do you like about your current SKINCARE routine and/or collection? What don’t you like about it? *
Your answer
Do you have a budget for skincare/makeup in mind? If so, what range would you like to stay in to get started? *
Would you like to address your skincare or makeup needs first? *
Do you have any additional comments, concerns or questions relating to your makeup or skincare needs? *
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service