Purely Nora: Skincare + Beauty Questionnaire

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Hi friends! I know how overwhelming it can be to switch to safer skincare and beauty - I've been there! You read articles that tell you what's best, ask your friends, try anything and everything (sometimes all at once) or get overwhelmed and don't try anything at all, ending up discouraged with the process and the results, or lack thereof.

The thing is, everyone's skin, lifestyle, goals and needs are different, so finding the right routine isn't a one-size-fits all solution. I created this form so you can tell me a little bit about your current situation, and I can send back customized recommendations that you feel good about!

I'll also add you to my Clean Beauty email list where you'll get insider tips, tricks and early access to specials and promotions (no spam, I promise!). Helping people is my passion and my goal is to educate and empower you to find better, cleaner options that work for your skin and your life.

Email *

Name?

Email Address?

Have you tried Beautycounter before? *

Yes

If yes, do you actively work with another consultant?

Yes

Clear selection

What are your current skincare goals? Any issues you're currently having that you want to fix?

How old are you? I know, I know - this seems silly. But it helps me, I promise :)

What are your current skin concerns?

Dryness

Dullness

Oiliness

Combination Dryness + Oiliness

Hormonal acne (typically very stubborn cystic acne around your chin/cheek area)

Consistent, Non-hormonal acne (whiteheads/blackheads)

Occasional Breakouts

Fine Lines / Anti-Aging

Other:

After you wash your face, what happens?

My skin feels hydrated. If I didn't follow up with moisturizer right away, my skin probably would still feel hydrated 30 minutes later. I don't have issues with oiliness later in the day.

My skin feels OK and/or tight but then will get very oily later in the day.

My skin feels immediately tight after I dry my face off and I have issues with dryness later in the day as well.

My skin is quickly oily again.

If you've ever had a reaction to a skincare product, what was it and how did you react?

What does your current skincare routine look like? Are you happy with it?

NOTE: Please list when you use certain products (morning or night), the order of application, and the brand/company!

What products are you looking to switch out?

Would you like recommendations for make up? If so, please list what you're looking for (and what you're currently using!) || Please be specific!

For example, if you're looking for foundation, indicate what kind, what type of coverage, etc.!

Are you interested in becoming a Beautycounter consultant? If so, I'm happy to share more info!

No pressure AT ALL - I just get a lot of questions about it, so thought I'd include it here! As a refresher: BC consultants get a 25% discount off of all products, 25%-35% commission on any products sold and there are never any spending requirements, order requirements, or anything like that :)

Yes, I want to learn more!

No, not right now

Maybe? I gotta think about it!

Other:

Clear selection

Please share any other questions or concerns you might have! Ask anything and everything and I'll do the best I can to help you.

Send me a copy of my responses.

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