1.Your name

2.What is your IG handle, email or phone number?

3.What is your skin type?

Dry: Skin feels tight, rough or flakey.

Oily: Skin appears shiny with visible pores

Combo: Skin feels dry with visible pores

Sensitive: Skin is delicate & responds to change 

Normal: Skin is neither dry, nor oily.

4.What are your major skin concerns?

Age/dark spots

Sun damage

Uneven skintone

Dull skin

Fine lines/wrinkles

Large pores

Dark circles

Overall smoothness

5.What is ONE thing you want to change about your skin?

6.Are you interested in a skincare routine customized by me?

Yes, please contact me!

No thanks, just curious.

7.I am interested in...

Becoming a retail customer.

Becoming a VIP customer (receive a discount + ton of perks!)

Potentially sell these products and receive a major discount!