Skincare/Haircare Consultation:

Skincare/Haircare Consultation:

Hello, we are excited to work with you and learn more about you and your skincare/haircare needs! Once we have your response, we will give you a personalized skin care or hair care regimen using our all natural, homemade products. Please allow 24-48 hours for a response.
Name*

First NameLast Name
What is your sex?
How old are you?*

20 or below21-2627-3334-3940-4647-5455-6465 or older
Email*
example@example.com
What is the best way to contact you?

EmailFacebook MessengerInstagramText MessageOther
How did you hear about Tia & Ty's Naturals? Please check all that apply.

Friends or FamilyFacebookInstagramTik TokOther
If you selected "Other" in the prior question, please specify. If not, please list N/A.
Please enter your preferred contact information here (Phone number, IG handle, etc)
How would you describe your skin?

DryNeutral/NormalCombinationOilyNot sure
After you wash your face it feels:

Tight or DryNo particular sensationSlight sheenOilyNone of the above
How does your skin feel a few hours after using moisturizer?

DryOilyDry in some area and oily in othersI don't use moisturizerNone of the above
What are your face and/or body skin concerns (check all that apply)

SensitivityRednessFine lines or wrinklesLoss of firmness or elasticityHyperpigmentationAcneDrynessRosaceaDull SkinEczema (on face)Stretch MarksEczema (on body including scalp)Psoriasis (on body including scalp)Dry/Cracked LipsCold Sores/Fever BlistersScarring (acne, surgical etc.)Other
How often do you wear make-up?
Do you have a current skincare routine?
If you answered "Yes or Somewhat" to the question above, what does it consist of? (Check all that apply)

CleanserTonerSerumSunscreen or moisturizer with SPFMoisturizer without SPF or face oilEye CreamRetinol or Retin-AExfoliantOther
Are you looking to replace your current skincare routine?
Are you allergic to any natural skin or hair care ingredients? If yes, please list them below. If no, please write N/A.blanks
In order to better assess your skin and hair care condition(s), it's important for us to understand all pertinent medical issues and medications being taken. Please list any pertinent medical issues. Please list any current supplements or medications.
Do you have any questions or comments? blanks
Do you want a hair care consultation? (If no, don't answer the following questions).
What is your hair care routine? (Write N/A if not interested in hair care consultation).
What are your hair care concerns?

Excessive drynessFlakey scalp or dandruffFlakey beard or mustacheBalding/alopeciaHair growth restriction(s)Beard or mustache growth restriction(s)Not any (Only interested in skin care products).Other
Would you like to schedule a virtual consultation?
Appointment

The Consultation Fee is automatically applied towards your overall purchase. (For example, if the total is $100, you'll only pay the difference of $75).

USDConsultation Fee

Payment Methods

Credit Card

Apple Pay

Google Pay

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