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Skin Consultation
1
What is your first & last name?
First Name
Last Name
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2
Instagram username?
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3
Phone number?
Please enter a valid phone number.
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4
Skin Type
Dry
Dry & Oily
Oily
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5
Is your skin sensitive?
Yes
No, normal
On occasion
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6
Do you struggle with acne?
Yes
No
Use to
Just started
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7
Do you have dark spots and discoloration?
Yes
No
Sometimes
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8
What’s your main concern/ what would you like to fix?
Dryness
Hydration
Fine lines/ wrinkles/ crows feet
Texture Skin
Blemishes
Redness
Dark circles
Aging
Acne
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9
I’m interested in..
A full new skincare to transform my skin
Trying out a few products for starters
Only my target treatment product
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10
What is your skin goals ?
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11
Add any additional information you would like me to know so i can recommend the best of best for you!
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