NaturallyNatHop Concierge Service

Concierge Service Questionnaire
Name*

First NameLast Name
Email*
example@example.com
Date of Birth*

YearMonthDay
Date
Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
What products are you interested in? (Select all that apply)*

Dr. Tuna SkincareMakeupBody CareNutritionPerfume/FragrancesShield Man SeriesHair Care and Styling ProductsMr. Wipes Home Care
How would you describe your skin type? (check all that apply)

DryOilyCombinationAcne ProneScars or Dark SpotsSun Damage/HyperpigmentationRedness or RosaceaEczema or PsoriasisAging/Mature SkinOther
What type of makeup routine best describes you?

Chapstick, mascara, and out the door! Less steps are better. 7 products tops!I prefer some coverage from a BB or CC Cream. Some quick eye makeup and a gloss is good! 10 - 15 products is great!I love flawless, contoured face makeup and simple eye makeup. 10-15 products is still perfect.I love all the makeup! Full glam all the way! Give me all the things!Other
What types of products would you like to see included in your routine? (check all that apply)

PrimerFoundation/BB or CC CreamConcealerSetting PowderSimple Eye MakeupElaborate Eye MakeupBlushContour ItemsEye LinerLipstick or GlossEyebrowsMascaraOther
What finish do you prefer for your foundation?

Matte FinishDewy/Glow FinishLight Coverage
Do you need color correcting help from a primer? (check all that apply)

Yes - I struggle with rednessYes - I struggle with yellow/dull areasI just need a regular, clear primerI would like a primer that adds additional moisture to my skin
What shades of blush do you prefer? (check all that apply)

Candy PinkBerry TonesRosey/RedPeachyNeutral/NudeMauveOther
What type of eye makeup to you prefer? (check all that apply)

Simple. One color is plentyChoice of Neutrals: Browns, Taupes, and Champagne ColorsSmokey GraysI love color!No more than a trio paletteCream ShadowLiquid ShadowOther
What type of eyeliner do you prefer? (check all that apply)

Pencil EyelinerMechanical/scroll up EyelinerInk EyelinerLiquid EyelinerGel EyelinerBlack OnlyBrownFun Bright Colors on occasion
What would you like for your mascara to do for you? (check all that apply)

I don’t wear mascaraVolumeLengthVolume + LengthHelp with growthDarken Lashes
What type of lip products do you prefer? (check all that apply)

Lip ConditionerLip PlumperMatte Liquid LipstickLip GlossTraditional LipstickNeutral Colors: Nude and Natural lip colorsSoft Colors: Mauves and Muted TonesBold Colors: Deep Berry, Red,, etcBright Colors: Pinks, Coral, Purples, etcOther
Please upload your no makeup selfie here.

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Do you have any known allergies that I should be aware of?
What complexion issues are you facing that you would like to to target with your daily skincare routine? (check all that apply)

Acne ProneScars, dark spots, and/or sun damageSwelling or puffy under eyesFine lines and wrinklesUneven skin textureRedness or RosaceaEczema or PsoriasisInflamed and clogged poresCombat AgingOther
What type of products would you like to see included in your skincare routine? (check all that apply)

Makeup RemoverFace Wash/CleanserToner/TonicSerumEye CreamFace MoisturizerAcne TreatmentFace MasksExfoliatorAnti-Aging
Do you like Tea or Coffee

TeaCoffeeBoth Tea and CoffeeNeither
How do you enjoy your collagen?

I prefer it pre-mixed with my coffeePowder form that I can mix with drinks, smoothies, etc.Liquid ShotI am not interested in collagen at this time
What type of supplements/vitamins are you interested in trying or knowing more about? (Check all that apply)

MultivitaminsVitamin SpraysVitamin C Effervescent TabletsOmega-3Spirulina
What type scent for women’s perfume do you prefer?

Warmer Scents: Wood, Amber, VanillaFloral: Jasmine, Geranium, RoseFruity: Lemon, Orange, Raspberry
What type scent do you prefer for men’s cologne?

Musky, Woodsy, LeatherClean, Fresh, OceanLight, Fruity, Herbal
What men’s line products would you like to see in your cart? (check all that apply)

ShampooBody washStyling Hair WaxBeard and Mustache OilFace and Body Soap BarShaving FoamFace and Eye CreamAfter Shave Lotion
What hair care products are you most interested in? (check all that apply)

ShampooConditionerHair Mask/TreatmentHeat ProtectantDry Shampoo
What benefits are you looking to get out of your hair care routine? (check all that apply)

Hair GrowthHealthy ShineHydrationVolume
What type of household cleaning products are you interested in trying/knowing more about? (check all that apply)

Laundry DetergentFabric SoftenerFabric Freshener SprayMagic Cleaning SpongeDishwashing SoapMulti-Purpose Cleaner
What type of body care products are you interested in? (check all that apply)

Sculpting Gel - Reduces the appearance of celluliteMassage Gel - soothing for aching muscles, joint pin, and headachesDream/Sleep SprayIntimate SeriesFoot SeriesSunscreen and After SunSelf TannerSeasonal Scented Products
Do you prefer products that you use in the bath/shower or apply and leave on?

Shower ProductsLotions and Gels that stay onBOTH
How did you find me? (Instagram/Facebook/Friend/etc.)
Would you like to know more about becoming a Farmasi Beauty Influencer?

YesNo
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Concierge Service Questionnaire