You can always press Enter⏎ to continue
Welcome
Please complete to receive a personalised skin care regime from Little Pink Salon (I do charge a small fee for this service, payment info at the end)
31
Questions
START
1
Name
*
This field is required.
First Name
Last Name
Previous
Next
Submit
Press
Enter
2
Email
*
This field is required.
This is where your recommendations will be sent 💌
example@example.com
Confirm Email
Previous
Next
Submit
Press
Enter
3
Select Your Age
This helps me further tailor your new regime 💁🏻♀️
Under 18
19-25
26-35
36-45
46-55
56-65
65+
Previous
Next
Submit
Press
Enter
4
Do you have any known allergies?
Please tell me any allergies, even if they seem irrelevant
Huge
Large
Normal
Small
Ok
quote
Created with Sketch.
Ok
Previous
Next
Submit
Press
Enter
5
What is your maximum budget?
Prices are a guide and can vary depending on routine 💸 don’t forget this this the total of the routine, you don’t have to spend this all at once!
Under £50 (£10-15 per product)
£51-£100 (£15-£20 per product)
£101-200 (£20-£50 per product)
Over £200 (£20-£50+ per product)
Previous
Next
Submit
Press
Enter
6
What are your skin care goals?
Tick as many as you like 🩷
Starting a skincare routine from scratch
Smoother skin (texture)
Brighter Skin
Reduce pigmentation
Improve appearance of fine lines/wrinkles
Improve dehydration/ tight skin
Improve dry/ flaky skin
Reduce breakouts
Improve sensitivity
Reduce oiliness
Improve redness
Healthier skin overall
I know nothing! Anything is an improvement
Previous
Next
Submit
Press
Enter
7
How would you currently describe your skin?
You can chose more than one if you like 🥰
Dehydrated or tight feeling
Dry or flaky
Oily all over
Oily in some places, drier in others
Sensitive to touch
Sensitive to products/ fragrance
Itchy/ irritated
Breakout prone
Previous
Next
Submit
Press
Enter
8
What is your current morning cleanser(s)? 🧼
Include as much info as possible; brand, type etc
Write none if you don’t currently use one
Previous
Next
Submit
Press
Enter
9
What is your current toner(s)? 💧
Include as much info as possible; brand, type etc
Write none if you don’t currently use one
Previous
Next
Submit
Press
Enter
10
What is your current spot treatment?🎯
Include as much info as possible; brand, type etc
Write none if you don’t currently use one
Previous
Next
Submit
Press
Enter
11
What is your current morning serum? 🍑
Include as much info as possible; brand, type, how much you use etc
Write none if you don’t currently use one
Previous
Next
Submit
Press
Enter
12
What is your current morning eye care product? 👁️
Previous
Next
Submit
Press
Enter
13
What is your current morning moisturiser? 🧴
Include as much info as possible; brand, type etc
Write none if you don’t currently use one
Previous
Next
Submit
Press
Enter
14
What is your current SPF? ☀️
Include as much info as possible; brand, type etc
Write none if you don’t currently use one
Previous
Next
Submit
Press
Enter
15
What is your current evening cleanser? 🧼
Write ‘same as morning’ if you only have one cleanser
Write none if you don’t currently use one
Previous
Next
Submit
Press
Enter
16
What is your current evening toner? 💧
Write ‘same as morning’ if you only have one toner
Write none if you don’t currently use one
Previous
Next
Submit
Press
Enter
17
What is your current evening serum? 🍉
Include as much info as possible; brand, type, how much you use, frequency etc
Write none if you don’t currently use one
Previous
Next
Submit
Press
Enter
18
What is your current evening eye care product? 👁️
Previous
Next
Submit
Press
Enter
19
What is your current topical retinol/ retinal/ tretinoin? 🎯
Include as much info as possible; brand, type, frequency of use, strength etc.
Write none if you don’t currently use one
Previous
Next
Submit
Press
Enter
20
What is your current evening moisturiser? 🧴
Include as much info as possible, brand, type etc
Write none if you don’t currently use any
Previous
Next
Submit
Press
Enter
21
Do you use any weekly treatments like a mask or exfoliation? 🫧
Include as much info as possible; brand, type, frequency of use etc
Write none if you don’t currently use one
Previous
Next
Submit
Press
Enter
22
Are there any other skin care products you use? 🛀
Previous
Next
Submit
Press
Enter
23
Do you ever have any of the following professional treatments 👩🏻⚕️
Tick all that apply ✅
Botox/ toxin injections
Facial Peels
Microdermabrasion or Derma planing facials
Facial waxing or threading treatments
Laser treatments of face (for pigmentation/ hair reduction etc)
Sunbeds
None of the above
Previous
Next
Submit
Press
Enter
24
Ideally, how long would you like to spend on your skincare routine in the morning? 🌞
ASAP, I have no time it needs to be quick
I have a bit of time, but nothing too lengthy
All the time in the world, the morning is when I do most of my skincare
Previous
Next
Submit
Press
Enter
25
Ideally how long would you like to spend on your evening skincare routine?🌛
As quick as possible, if it’s too long I won’t do it
I have a bit more time in the evening, but don’t like too many steps
I prefer a longer evening routine as I have more time
Previous
Next
Submit
Press
Enter
26
Do you wear makeup? 💄
Tick the one that applies most to you
I rarely wear makeup
Occasionally, at the weekends
Most days, but nothing too heavy
I wear a full face every day
Previous
Next
Submit
Press
Enter
27
What is your preferred texture for a cleanser?
Don’t mind/ no preference
Balm or oil cleanser
Foaming or gel cleanser
Cream cleanser
Previous
Next
Submit
Press
Enter
28
What is your preferred texture for a moisturiser or SPF?
I don’t mind/ no preference
A lighter gel or fluid
Nothing too heavy, but feels hydrating
Something rich and nourishing
Previous
Next
Submit
Press
Enter
29
Do you prefer your skin care unfragranced?
Don’t mind/ no preference
All unfragranced please
I don’t mind a bit of both
I like everything to smell divine!
Previous
Next
Submit
Press
Enter
30
Anything else I should consider whilst building your skincare routine 👷♀️
Huge
Large
Normal
Small
Ok
quote
Created with Sketch.
Ok
Previous
Next
Submit
Press
Enter
31
Please make the payment before submitting the form
Your personalised regime will be emailed to you within 7 days 🩷
Previous
Next
Submit
Press
Enter
Should be Empty:
Question Label
1
of
31
See All
Go Back
Submit