Interested in an organic, low-tox skincare routine? Fill out the form below to begin your complimentary consultation process!
Current AM + PM Skincare Routine // Please let us know what products you are using and what your daily and nightly skincare routine consists of. Please include if you wear sunscreen and which brand you use.
Have you ever taken or are you currently taking Accutane or Retin A?
What type of skin do you have?
Aging "Living" ;-)
Hyperpigmentation (Patches of darker skin)
Do you tan easily after sun exposure?
Always burn, never tan
Usually burn, tan with difficulty
Sometimes mild burn, gradually tan to olive
Rarely burn, tan with ease to moderate brown
Very rarely burn, tan very easily
Never burn, tan very easily, deeply pigmented
Do you wear sunscreen DAILY?
Do you have any environmental, food, &/or product allergies? // Please list if you have any allergies to herbs, fruits, plants, etc. for our products contain highly concentrated plant matters.
How many cups of water do you drink daily?
Describe a typical day of eating. // Do you eat a lot of processed foods? Do you drink sodas and sugary drinks? Do you eat a lot of fruits and vegetables? Please mention any details. No judgement here, ever. <3
What supplements and vitamins are you currently taking?
How many days a week do you exercise?
Do you experience high levels of stress throughout the week?
Do you have any other problematic areas?
Do you smoke cigarettes?
Sometimes, only when stressed or drunk
How many alcoholic beverages do you treat yourself to per week?
How many hours of sleep do you get per night?
How much UV exposure do you get?
1-2 days per week
3-5 days per week
What services are you interested in?
Are you interested in a facetime consultation?
Thanks for submitting!