Welcome to Your One on One Skincare Consultation with Kati Vernon
Welcome! I am excited to work with you and learn more about you and your skin! Once I have your responses, I can give you a personalized skin care routine using our clinically proven Pomifera products. Please allow up to 24 hours for a response.
Name
*
First Name
Last Name
Email (This is where I will send your recommendations.)
*
example@example.com
Phone Number (I will send you 1 text to let you know your recommendations have been sent. Sometimes they get lost in spam.)
Please enter a valid phone number if you would like me to text you your results.
Format: (000) 000-0000.
What is the best way to contact you?
Email
Facebook Messenger
Instagram
Text Message
Other
How would you describe your skin?
Dry: My skin feels tight and has several dry patches.
Neutral/Normal: My skin is neither oily or dry.
Combination: My skin is both oily and dry.
Oily: My skin starts producing oil almost immediately after washing.
Acne Prone: My skin breaks out often.
How does your skin feel a few hours after using moisturizer?
Dry
Oily
Dry in some area and oily in others.
I don't use moisturizer.
None of the above
What are the main skincare concerns you would like to address? Check all that apply.
Uneven Skin Tone
Redness
Fine Lines & Wrinkles/Anti-Aging
Hyperpigmentation
Acne
Dryness
Rosacea
Dull Skin
Eczema (on face)
Eczema (on body including scalp)
Psoriasis (on body including scalp)
Dry/Cracked Lips
Cold Sores/Fever Blisters
Scarring (acne, surgical etc.)
Enlarged Pores
Under Eye Bags, Darkness, Puffiness
Melasma
Other
How old are you?
*
20 or below
21-26
27-33
34-39
40-46
47-54
55-64
65 or older
Are you interested in a Tinted BB Cream with SPF 30?
*
Yes
No
I'm not sure!
Do you wear make-up?
Please Select
Yes
No
What is your skincare budget?
*
$40-75
$75-$100
$100+
Questions or comments?
blanks
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