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Personalized Skin Care Recommendation
Please fill out the following questions for a personalized skin care recommendation!
15
Questions
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1
Full Name
First Name
Last Name
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2
Email
example@example.com
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3
Phone Number
Please enter a valid phone number.
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4
What cleanser do you use?
Or how are you cleansing?
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5
What do you use to Mist or Tone your skin?
(If anything)
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6
What do you use as for Serums?
AM and/or PM - or at all
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7
What do you use to moisturize?
If anything
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8
Are you using any other skin-care products not mentioned previously?
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9
Does your skin like oil-based products?
Or do you know?
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10
How would you describe your skin?
Some descriptions are dry, oily, congested, sensitive... etc.
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11
What are your skin concerns?
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12
Do you have an idea of what your skin may be missing?
(An optional question)
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13
Please list any Allergies, Skin Sensitivities that your skin may have:
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14
Please let me know if you have any medical conditions that have you on medications for the skin (or that would affect your skin):
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15
Please take a (selfie) photo to show me your skin
This picture will not go anywhere or be used in any capacity other than to get a visual
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