Happy Skin Questionnaire ❀
❀ Answer the questions below so we can hook you up with the skin care system that fits all of your wants and needs! Let’s get started! For any other questions, please contact me @amayasalek on IG ❀
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Welcome to the #HealthySkinRevolution!This skincare offers a complete solution for radiantly beautiful skin that inspires confidence at any age. 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.All products are clinically safety-tested by independent labs to ensure they do not promote irritation. We form our products to the highest standard across the USA, Canada, and Europe. All formulations use ingredients that the FDA, Health Canada, and the more-strict European Commission consider “safe for their intended cosmetic use.”YES! We use safe colorants approved by the FDA, Health Canada, and the European Commission in the European Union. YES! We use safe fragrances! We only use fragrances approved as safe by the Research Institute for Fragrance Materials (RIFM) and the International Fragrance Association (IFRA).YES! We are vegan and animal-friendly! We do not use any ingredients derived from animals or animal byproducts. We do to engage in animal testing, EVER.YES! We are also Leaping Bunny Certified and gluten 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.Let's get you beautiful skin! ↴
❀ Is your skin?
*
Dry
Oily
Combination
❀ Is your skin sensitive?
*
Yes
No
❀ Is acne an issue?
*
Yes
No
Sometimes
❀ Do you have sun spots, age spots, or fine lines/wrinkles?
*
Sun spots
Age spots option 2
Fine lines/wrinkles
None
❀ Psoriasis or eczema?
*
Psoriasis
Eczema
Neither
❀ Large pores?
*
Yes
No
Not sure
❀ Under eye bags or dark circles?
*
Under eye bags
Dark circles
Both
❀ What would you like to fix/change about your skin?
*
❀ Name
*
First Name
Last Name
❀ Phone Number
*
Please enter a valid phone number.
❀ What is your Instagram username?
*
❀ What is your budget for a customized skin care system? (Should last 3-5 months on average) so keep that in mind when selecting a budget.
*
5 step system
4 step system
3 step system
2 step system
Submit
Should be Empty: