Skincare Questionnaire
My skin has come a LONG way, and I now LOVE how it looks & feels. But even more important, I feel good that I'm using safer makeup and skincare products that don't contain questionable ingredients.

If I can love my skin, I have absolutely no doubt that you can too!

One of my favorite things is helping others find a skin care and makeup routine that works for them. To get started, just complete this short questionnaire.  I’ll get back to you ASAP with my personalized recommendations to get you started in the right direction.

Talk soon!

xo,
Jill
info@grownupdish.com

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Name: *
Email: *
How old are you?
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Which of these descriptions best describe your skin type?
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What is your PRIMARY skincare concern?
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Do you have any of these SECONDARY skincare concerns?
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What does your current skincare routine look like? Tell me about the brands you use and what you like/dislike about your current routine.
What is your IDEAL skincare routine?
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Do you have a budget in mind? If so, what range would you like to stay in to get started?
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Interested in makeup? Tell me more about which products you’re looking to switch to safer.
If you have had a bad reaction to skin care products or makeup, please tell me more about what you used and what you experienced:
Are you interested in becoming a consultant and getting 25% off of Beautycounter?
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What else do you want to tell me? Any other questions or concerns?
Thanks so much for filling out my skincare questionnaire! I'll be in touch asap with my personalized recommendations for you!
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