Free Email Skincare Consultation
Glitter Skin Studio, LLC | Beauty that's good for you
Hello!
Life can get busy – I get it! If you don't have time to chat, simply fill out this short questionnaire and receive a skincare routine crafted just for you, product recommendations, and more! There is no obligation to buy. If you decide to purchase any recommended products, you will receive a special promo code at the end of your consultation. I will get back to you via email within 3 business days.
Name
*
First Name
Last Name
Email to sent My Recommendation(s) To You
*
example@example.com
Phone Number
-
Area Code
Phone Number
Is your skin?
*
Oily
Combination
Dry
Normal
Other
What is your primary skin concern?
*
Pores
Dryness
Lines & Wrinkles
Oily Skin
Dull Skin
Loss of Firmness
Blemishes
Sensitivity
Uneven Skin Tone / Dark Spots
Other
What is your secondary skin concern?
*
Pores
Dryness
Lines & Wrinkles
Oily Skin
Dull Skin
Loss of Firmness
Blemishes
Sensitivity
Uneven Skin Tone / Dark Spots
Other
How old are you?
*
15-24
25-34
35-44
45-54
55-64
65-74
75+
Discoloration or puffiness under your eyes?
Discoloration
Puffiness
Both
Neither
Other
Do you have rosacea, eczema, or health conditions that affect your skin or make it sensitive?
Do you have any allergies?
Do you physically or chemically exfoliate your skin? If so, how often?
What brands (i.e., brand is Clinique) do you currently use?
Example: Clinique cleanser; Good Genes astringent; Trish McEvoy moisturizer.
Of those brands you indicated above, what type of products do you use (i.e., Clinique cleanser)?
Example: Clinique cleanser; Good Genes astringent; Trish McEvoy moisturizer.
What don’t you like about your skin?
What are your skin goals?
Upload a picture of your skin, if you'd like!
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Anything else you'd like to tell me?
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