Full Name
*
First Name
Last Name
Mobile Number
*
Please enter a valid phone number.
Email
*
example@example.co.uk
SKIN DIAGNOSIS
Age
*
18-24
25-39
40-54
55+
What are your primary concerns about your skin?
*
What do you want to achieve?
*
Fight pimples
Reduce acne scars
Reduce wrinkles and lines
Reduce redness
Refine visible/enlarged pores
Soothing irritated/inflamed skin
Balance oily skin
Plump thin, loose or sagging skin
Improve skin radiance, brightness & glow
Reduce age/sun spots or hyperpigmentation
Increase skin moisture/Reduce dryness
Other
Do you have sensitive skin
*
Yes
No
If 'Yes', what type of sensitivity do you have?
Reactive to environment - touch sensitivity, spicy foods, caffeine, alcohol, temperature or mood changes)
Allergic reactions to harsh product ingredients causing redness, itching, swelling etc.
Extreme sensitivity e.g. eczema, psoriasis or dermatitis
Sensitive due to hormonal changes
Other
How would you describe your skin?
Dry & flaky
Greasy & Shiny
Moody. Sometimes dry, sometimes oily
Dull or lifeless, no longer glows
Perfectly balanced
Prone to redness, irritation and rashes
Is there anything you'd like to improve in the under eye area?
dark circles
fine lines and wrinkles
puffiness
preventative care
Nope! I have a smooth, bright, elastic eye area
Yes, but not at this time. I want to start slow.
70% of our immune system comes from our gut. Your gut, mouth, skin and vagina all have their own microbiome. If one of these is off it tends to throw the others off as well. Since your skin is your largest organ and one we can SEE, it often will give us a clue that something is off internally. Mark any areas you'd like to work on from the inside out.
immune support
hair growth
nail & eyelash growth
cellulite & skin texture
wrinkles & fine lines
skin elasticity & moisture
oral health (teeth/gums/breath)
I'm not interested in internals at this time
Which of the photos above best describes the purity of your skin?
a few pimples
mild acne
moderate acne
severe acne
none, my skin is clear
What is your current skincare routine (select all that apply)
*
Eye make-up remover
Oil cleanser
Foaming Cleanser/Face wash
Toner
Serum(s)
Facial oil
Eye cream
Moisturizer
Exfoliator
Face mask
Collagen
Other
Mark any additional products you are interested in even if you cannot get them all initially. All of our products are made up of 90% of more organic, bioactive (smart, living) ingredients that are anti inflammatory, repair damaged cells and reduce free radicals. We do not use synthetic preservatives and the arbequina oil in our products is single sourced from a Grove not treated with harmful pesticides. The oil mimics your natural lipid layer unlike refined oils that can't be absorbed by your body.
body oil/lotion
hair care
lip balm
coffee alternative
mouth cure
immune boosting elixir
healthier, youthful skin-like makeup
shower gel
organic extra virgin olive oil
If after purchasing and loving Oliveda you still have things on your wish list, would you consider referring your friends to me (by sending them a link) to earn up to $560 in free products?
Definitely! I love supporting your little family!
No thank you, but I'll support you by using the products and joining your VIP group to see live demos and promos.
I'm not sure. Please send me details to consider.
I love holistic beauty! If it's a good fit I may want to be a consultant like you for the 25% discount and ground floor opportunity. Send me the 411 to consider!
Any additional information you'd like me to know when recommending your custom skincare routine?
Add any other information that may be relevant e.g. known allergies, vegan, budget, something you are almost out of or just invested in?
Submit
Thank you for supporting me by engaging with my content, purchasing, encouraging me, and referring your friends to me. I recognize it's not as convenient to shop with me as it is to purchase from massive chain stores, but instead of helping the rich get richer, you're literally helping my husband and I provide baseball uniforms, groceries and doctor visits for three little boys and we are forever grateful for that kindness.
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