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YOUR SKIN ❤️

Hello :)


It’s lovely to have you here!


How wonderful that you’re taking the time to focus on your skin.

After all, it’s our largest detox organ and a reflection of our inner wellbeing.

I’m already looking forward to your results.

As always, I’ll review everything with our expert team and then share the free tips with you.


Warmest regards,

Chiara

Gesichert
Survio
YOUR SKIN ❤️
1

What’s your first and last name?

How would you like me to address you?
YOUR SKIN ❤️
2

What is your current occupation?

Depending on your profession, your skin may be exposed to particular challenges…
YOUR SKIN ❤️
3

What is your current skin condition?

Choose one answer
YOUR SKIN ❤️
4

Do you have any allergies? If yes, which ones?

If you don’t have any, please enter NO.
YOUR SKIN ❤️
5

Do you suffer from neurodermatitis or psoriasis?

Choose one answer
YOUR SKIN ❤️
6

What is part of your daily skincare routine?

Choose one or more answers
YOUR SKIN ❤️
7

Do you use exfoliants?

Choose one answer
YOUR SKIN ❤️
8

Do you use face masks?

Choose one answer
YOUR SKIN ❤️
9

Which skin blemishes do you notice?

Choose one or more answers
YOUR SKIN ❤️
10

How does your skin react to sunlight?

Choose one answer
YOUR SKIN ❤️
11

How visible are your pores?

Choose one answer
YOUR SKIN ❤️
12

How sensitive is your skin?

Choose one answer
YOUR SKIN ❤️
13

What bothers you most about your skin?

What bothers you? What would you like to improve? Choose one or more answers.
YOUR SKIN ❤️
14

How do you eat?

Choose one answer
YOUR SKIN ❤️
15

Do you take supplements?

Choose one answer
YOUR SKIN ❤️
16

How much water do you drink per day?

Choose one answer
YOUR SKIN ❤️
17

Have you ever done a detox program?

Choose one answer
YOUR SKIN ❤️
18

Do you have any favorite products you can’t do without in your skincare routine?

If yes, which ones?
YOUR SKIN ❤️
19

How much are you financially willing to invest in your skin per month?

Please write down the amount
YOUR SKIN ❤️
20

Let’s connect on social media? What’s your account? :)

My instagram account is called: kollerchiara
YOUR SKIN ❤️
21

Which WhatsApp number can I send your free consultation to?

If you’d prefer this via Instagram or Facebook, please share your account here again. WhatsApp works best, as I can send you documents there. :)