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Question 1 of 10
Full Name
Question 2 of 10
Instagram Handle
Question 3 of 10
Email
Question 4 of 10
Preferred Method of Contact
Instagram
Question 5 of 10
How much are willing to invest in yourself? What is your budget?
$50 - $120
$120 - $200
$200 or more
Question 6 of 10
What type of skin do you have?
Oily
Dry / Sensitive
Normal / Combination
Question 7 of 10
What skin concerns do you have?
Dryness
Dark Circles / Puffiness
Fine Lines / Wrinkles
Uneven Tone / Age Spots
Texture / Elasticity
Open Pores
Question 8 of 10
Are you interested in the makeup products?
Yes
No
Question 9 of 10
Are you interested in the wellness products? (i.e. Greens, Protein, Energy, etc.)
Question 10 of 10
Share with me your skin goals. Tell me what you want to improve on your skin. (i.e. bright/radiant, less wrinkles, minimize dark circles/puffiness, overall hydration, minimize pores, even skin tone, less oily, etc.)