Virtual Skin Care Personal Consultation
Jordan Essentials provides natural, non-toxic, gluten-free Skin Care Products, Proudly made in the USA! This personal Consultation is customized to your Skin Care needs and concerns.
Full Name
*
First Name
Last Name
Contact Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Would you consider your Skin:
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Normal - balanced skin with few break outs and dry patches. Possible T-Zone issues
Oily - Prone to breakouts and acne. Oily in the morning and returns during the day.
Dry - Tendency for dry patches, all over dry, tight feeling.
Combination/Acne Prone - Frequent breakouts and acne. Combination of oily and dry.
What are your skincare concerns? Check all that apply:
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Acne/Scarring
Fine Lines/Wrinkles
Sensitive Skin/Rosacea
Hyperpigmentation/Sun Damage
Other _________________________________________________________
Describe your skincare concerns and the one thing you would really like to improve.
What kind of products are you currently using?
Drug Store/Over The Counter - think Walmart, Target, Walgreens
Department Store - Think Dillard's, Ulta, Sephora
Professional - I use everything my Esthetician recommends
Medical Grade - From a Dermatologist or Medspa
Nothing Really - I don't know what to use and I really need some guidance.
Soap and Water - I am ready to boost my routine now.
Do you have any allergies we need to be aware of?
Yes
No
None that I am aware of.
If yes to Allergies, please specify:
Are there any other products you would like more information about? Check all that apply.
Natural Pain Relief - Headaches, muscle cramps etc.
Sleep Support - hard time falling or staying asleep
Body Care solutions
Hair Care Solutions
Essential Oil benefits
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