Skin consultation
Just like our hair care, our skin care line is scientifically proven and clinically backed to give results. Modern Nature now applies its innovative approach to a revolutionary line of products formulated for all skin types. Harnessing the natural power of revitalizing botanical oils, nutrient-rich exotic fruits, plant-based stem cells and a rejuvenating exclusive peptide, Modern Nature offers the most advanced approach to anti-aging skincare available today.Our products are custom and specific to each persons skin type and needs. Please take a moment to answer the questions below and I will get back to you with a customized skin care routine, JUST FOR YOU!
Science + Nature
Clinically tested and approved by dermatologists and ophthalmologists, Modern Nature skincare products are naturally-based, vegan, and cruelty-free—so not only can you enjoy confidence in your skin, but also in the knowledge that you’re using safe and safely developed products.
Name
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First Name
Last Name
INSTAGRAM @
FACEBOOK @
E-mail
*
example@example.com
Phone Number
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Date of Birth
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Month
-
Day
Year
Date
Country of Residence
*
Please Select
United States
Canada
Puerto Rico
United Kingdom
Ireland
Poland
Spain
Lithuania
Australia
Other
Which best described your skin? Select all that apply.
*
Dry
Sensitive
Normal
Combination
Oily
Rosacea
Acne-prone
Other
What would you like to improve about your skin? Select all that apply.
*
Brightness/Radiance
Age Spots
Evening of Skin Tone
Elasticity
Fine Lines & Wrinkles
Texture
Moisture & Hydration
Oil Control
Pores
Dark Circles or Puffiness
Other
What is your current skincare rountine?
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Ex. cleanser, toner, serum, moisturizer, eye cream, night cream
What is your current favorite skincare brand?
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Is there anything else we should know about your skin?
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What is your budget? This is important for me to know how much product I can recommend you at a time.
*
Under $100 (this will not get you a VIP routine, only 1or 2 retail products not including shampoo/conditioner)
$100-$130
$130-$150
$150-$200
$200-$250
No budget, give me everything I need upfront!
Are you interested in any of these skincare products?
Lash & Brow Growth Serum
Makeup Vanishing Balm
Eye Smooth Cream
Berry Refined Exfoliating Scrub & Mask
30 Second Miracle Instant Tightener & Perfector
Be Balanced Foamy Cleanser for Oily Skin
Be Balanced Lightweight Moisturizer for Oily Skin
Be Gentle Creamy Cleanser for Dry Skin
Be Gentle Nourishing Moisturizer for Dry Skin
Skin Revitalizing Essence (Soothing Pore Perfector)
C. Radiance (AM Vitamin C Serum)
Rewind Nectar (PM ANti-aging Serum)
Night Haven Cream
Rejuveniqe Oil Light
Rejuveniqe Oil Intensive
Are you interested in any of the following products?
Hair
Wellness Line
Men's line
Kids line
Pet line
How would you like me to contact you?
*
Text message
Instagram message
How did you hear about Me?
*
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