Skin Consultation

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* 1. Is your skin...

Dry

Sensitive

Oily

Combination

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* 2. Do you have...

Sun Damage

Age Spots

Fine Lines & Wrinkles

Acne or Large Pores

Discoloration in Skin Tone

Dark Circles or Puffy Under Eyes

Loose or Baggy Skin

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* 3. Is there anything you don’t like about your skin?

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* 4. What are your skin goals?

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* 5. What types of products are you using now?

Cleanser

Serums

Eye Cream

Toner

Moisturizer

Other (please specify)

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* 6. What is your name?

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* 7. What is your instagram handle?

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* 8. How would you like me to reach out to you about products? (Please leave cell phone number or if you would like me to DM you)