Oliveda Skincare Consultation

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This is the best and easiest way to figure out the skincare products and regimen for you to look and feel your best! By answering the short list of questions below, I can customize some simple recommendations based on your skin type and concerns. I am excited to get you started and help you make the switch to safer!

XO,

Angie Bloom

603-8285-7454

angie@angiebloom.com

Email *

Name: First and Last *

Phone Number *

Please select age range *

15-24

25-34

35-44

45-54

55-64

65-74

75+

Select the option that best describes your skin type: *

Normal (no or few blemishes, balanced, etc.)

Oily (dull or shiny complexion, blackheads and breakouts more common, large pores common)

Acne prone skin

Dry (dull or rough complexion, irritation common, flaky)

Combination (areas of both dry and oily skin, usually along the forehead nose and chin)

Sensitive (does not tolerate many products well, redness, irritation, itchy, burning common)

Choose Your Primary Skin Concern: *

Oil Production

Breakouts

Dry/Flaky Skin

Redness and Irritation

Dry Cheeks with Oily T-zone

Fine lines and wrinkles

Dull Skin

Sun Spots/Uneven Complexion

Large pores

Acne scars from historic acne

Other:

Choose Your Secondary Skin Concern: *

Oil Production

Breakouts

Dry/Flaky Skin

Redness and Irritation

Dry Cheeks with Oily T-zone

Fine lines and wrinkles

Dull Skin

Sun Spots/Uneven Complexion

Large pores

Acne scars from historic acne

No other skin concerns

Choose your interest level with a new skincare routine: *

I'm a minimalist, soap and a moisturizer works for me.

I'm interested in a new routine, but would like to limit it to 4 products.

I'm interested in a complete new regimen.

I'm unsure, but would like to learn more.

If you have had a reaction to skincare products in the past, please tell me more about which product(s) you reacted to and what type of symptoms you experienced. *

Do you have a budget in mind for your skincare routine? Products last 4-6 months on average. If so, what range would you like to stay in to get started? *

$200 or more

$100-$150

$50-$100

Less than $50

I’m open, depending on what is needed

If you are currently using Beautycounter products, please include the products you're using in your AM/PM routine below. *

Are you interested in learning more about becoming an affiliate and starting a business with Oliveda? *

Yes, I'm interested in learning more.

No, not at this time.

Please list any other questions or concerns below. I am happy to lend as much support as I can! *

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