It's time for your DREAM skin!
Please take 2 minutes to answer the following questions to help me better understand your skincare needs. Once you submit with all questions answered, I will reach out to you with a suggested skincare routine! Doing this may qualify you for a free full-sized product with your order + free shipping! XO, Cristal Oliveros @bellezadivinah
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Instagram Handle
*
Ex: @bellezadivinah
What country do you live in?IF YOUR COUNTRY ISN'T LISTED, please don't fill out this form!
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USA
Canada
Costa Rica
Mexico
Argentina
Brazil
Chile
Peru
Uruguay
Venezuela
How old are you? (MUST BE 18+ Please don't fill this form out if you're under 18)
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18-25
26-35
36-45
46-60
60+
What are you most interested in? (Select all that apply)
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Topical Skincare
Liquid Internals (collagen, hyaluron, immune boosting antixidant)
Haircare
Select all that apply to your facial skin:
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Dry
Combination
Oily
Acne Prone
Sensitive
Uneven Skintone / Hyperpigmentation
Dullness
Redness
Large Pores
Lines & Wrinkles
Dark Circles
Texture
What is your current skin care routine? (Please list products used)
*
What is the MOST important thing for you when investing in new skincare products? (i.e. clean ingredients, cost, results, etc).
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What would you like to change/improve about your skin most?
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Before I send your suggestions, what is a realistic budget range you'd be prepared to spend for a new skincare regimen? (FOR A 4-7 MONTH SUPPLY)
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$100 or under
$100-200
$200-300
I am open minded to the cost if the products work well
Is there anything else you'd like me to know?
Thank You!
You should be receiving a text from me soon. I can't wait to see your transformation!
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