Beautycounter Consultation Form

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Would you like a complimentary skincare consult and/or color matching session? Do you have questions about how to use a product or which products are right for your skin? Simply fill out the form below to schedule your one on one virtual consultation.

Depending on how much you'd like to go over consults can be scheduled for anywhere from 15 minutes to one hour. We want to make sure you are comfortable and understand how to use everything, as it can be overwhelming!

After you complete your consult, you'll receive a $10 credit towards your next Beautycounter order with Emily or Liz. Enjoy!!

Name (First & Last) *

Email Address *

Cell Phone Number *

What are you most interested in?

Skincare

Cosmetics

Body

Men

All of the above

Other:

I would consider my skin:

Normal

Dry

Oily

Combo

Clear selection

My primary skin concerns are: (Please Select 2) *

Lines and Wrinkles

Loss of Firmness

Uneven Skin Tone / Dark Spots

Eye Area

Sensitivity

Dull Skin

Oily Skin

Pores

Blemishes

Dryness

Other:

Required

Have you tried Beautycounter products before? *

Not yet.

Yes, but I have never purchased before.

Yes, and I have purchased.

If you purchased Beautycounter products in the past, which of our multi-channel platforms did you purchase through? *

I purchased online through the beautycounter.com website directly, without shopping through a consultant.

I purchased through a Consultant - either through their website or I attended an event/social/pop up where a Consultant shared information and I made a purchase.

I purchased at one of the retail locations: Nantucket, NYC, Denver, Seasonal-Boston Seaport

I purchased at one of the 3rd Party Retail Partnerships: Sephora, Goop, Target, J.Crew, Serena + Lily,

They were gifted to me.

I have never purchased them.

Other

Please select the day that works best for you!

YYYY

Please select your preferred consultation time slot:

Morning (9 am - 12 pm ET)

Afternoon (12 pm - 5 pm ET)

Evening (5 pm - 8 pm ET)

Clear selection

Emily or Liz will be reaching out to you shortly to schedule your consultation. Please add any further questions/comments below!

Submit

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