Name
First Name
Last Name
Email
example@example.com
IG handle
Where are you located? City/State/Country
WHO REFERRED YOU or HOW did you find me?
Phone Number
*
Please enter a valid phone number.
Let's talk about your makeup routine. Check all that you are interested in.
Pore minimizing primer
BB CREAM with SPF 40 (reef safe)
Eye smoothing Concealer & spot treatment
Mattifying translucent Powder
Talc-free Bronzer
Hydrating liquid Blush
Hydrating liquid Highlighter
Eye Shadow Palette (Browns)
GROWTH MASCARA
GROWTH Brow Gel
Satin Finish hydrating Lipstick
LIP Gloss plumper
Hydrating setting mist
Makeup Vanishing Balm
Micellar water OIL FREE makeup remover
Are you currently satisfied with your skin?
Yes
No
Could be better
Are you experiencing any of these common skin issues? Check all that apply.
Acne
Oily skin
Dry skin
Signs of aging
Fine lines/wrinkles
Dark spots/Age spots
Dull skin/lacking glow
Definitely interested in skincare makeup
Are you familiar with ingredients in beauty products and how these things can affect your overall health?
I’m familiar but don’t really care
I’m somewhat familiar but could use some more info
I’m an avid label reader and all about that low-tox life
I’m not familiar with how ingredients affect my overall health
How would you like me to get in touch with you with my product recommendations?
TEXT ME
Send me an IG DM
What is your price range for a new haircare or skincare regimen? Our VIPS save 15%+ off every order
I'm definitely on a budget & want it as low as possible
$100-$150
Whatever it takes to get help!
I prefer to buy a bulk pack of everything & get the biggest discount
Are you open to the Business side at all? (must be 18+)
No, I just want to be a customer.
Maybe, if I love the products I'm open to it
Yes!
(OPTIONAL) ADD A PICTURE OF YOU / YOUR FACE. (face a window but don't stand in direct sunlight and take a selfie.)
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