Skin Consultation

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Welcome

Hi there, please fill out and submit this form.

10Questions

1
What’s your Instagram user ?
2
What’s your first and last name?
3
What’s your email?
4
What’s your skin like?
Oily
Dry
Combination
5
Do you have ...
Sun Spots
Age Spots
Fine Lines and Wrinkles
Multiple
6
Do you have acne ?
Yes
No
7
Do you have large pores
Yes
No
8
Do you have dark under eye circles or bags?
Yes
No
9
What would you like to fix or change about your skin?
Huge
Large
Normal
Small
Ok
Ok
10
What products do you currently use?
Huge
Large
Normal
Small
Ok
Ok
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