Anna's Skincare Survey
Thanks for stopping by! Please take this survey to give me a sense for what your skin is like (what issues you're dealing with, what your biggest concerns are, what you love about your skin, etc.) to help me make great safe skincare recommendations for you:
Email address *
Your Name: *
Your answer
Please share your birthday so I can add you to my Birthday Club! (You get $10 back from me on a purchase made in your birth month. Yay!)
Your answer
Your Age: *
How would you describe your skin type?: *
Do you have any of the following skin concerns? Select all that apply: *
If you have had a reaction to skincare products before, please tell me more about what products and what symptoms you exhibited:
Your answer
What does your current skincare routine consist of? (Please list when you use them, i.e. morning or night, the order of application, and the brand/company.): *
Your answer
Do you have a budget in mind? If so, what range would you like to stay in to get started? *
Are you interested in hearing about our makeup line and recommendations on products?: *
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:
Your answer
Please list any other concerns or questions you might have here. I'm happy to help as much as I can!:
Your answer
Are you interested in learning more about becoming a Beautycounter consultant?
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service