Free Nu Skin Consultation
In an effort to better understand you and your skin, please fill out the form below. The answers given will help your skincare specialist formulate a customized treatment program for you.
Name
*
First Name
Last Name
Email
*
[email protected]
Phone Number
*
Please enter a valid phone number.
What best describes your skin type?
*
Normal/ Combo
Oily
Dry
Acneic
What skin conditions do you experience? Check all that apply.
*
acne ( moderate to severe
hyperpigmentation ( discoloration)
uneven texture
hyper sensitivity to products
aging skin ( sagging, deep wrinkles)
oily skin
intense dryness
How much time do you spend on your skincare per day?
*
zero ( skincare, I'm suppose to do that)
3-10 minutes
10-20 minutes
30 minutes or more
Have you had a professional skincare service before?
*
Yes
No
Do you currently have a skincare regimen?
*
Yes
No
What products are you currently using, if any?
*
What is your biggest frustration with your skin?
*
If you had a guardian angel esthetician who could create amazing transformations, to solve all your skin concerns what would you want her to focus on?
*
How committed are you to wanting to effectively address your skin concerns?
*
Highly-help me now!
Moderate- I want to but overwhelmed as how or where to start
Not sure
Nope, not ready. Just checking around
What is your budget for solving your skincare challenges?
*
$50
$75
$100
$115 and up
What is the best way to contact you and at what times? Check all that apply.
*
Email
Phone
Mornings ( 8am-11am)
Afternoons ( 12pm-4pm
Evenings ( 5pm-7pm)
Weekdays
Weekends
1730 W Bardin Rd Ste 450
Arlington Tx 76017
469-212-3072
[email protected]
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