NEED HELP WITH SKINCARE?

Answer the questions below and I'll evaluate your skincare needs!

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WHAT HAPPENS AFTER YOU HIT SUBMIT? I'LL REVIEW YOUR ANSWERS AND GET BACK TO YOU SOON WITH SKINCARE SUGGESTIONS.

Amy Rodenkirk

(866) 515-4947

NEED HELP WITH SKINCARE?

Answer the questions below and I'll evaluate your skincare needs!

First Name *

Last Name *

Email *

Phone

Age *

What's your current routine? *

Which of these describe your skin? (You can choose more than one) *

Do you experience any of these skin conditions on your face/body? *

What skin issue is most important to correct? *

What is important to you in guiding your skincare selection? *

Is there anything else you'd like for me to know about your skin?

I consent to receive non-marketing text messages from Amy L Rodenkirk dba The Beauty Chic about the results from my skincare assessment form at the phone number provided. Message & data rates may apply. Text HELP to (866) 515-4947 for assistance. You can reply STOP to unsubscribe at any time.

I consent to receive marketing text messages from Amy L Rodenkirk dba The Beauty Chic at the phone number provided. Frequency may vary. Messaging & data rates may apply. Text HELP to (866) 515-4947 for assistance. You can reply STOP to unsubscribe at any time.

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WHAT HAPPENS AFTER YOU HIT SUBMIT? I'LL REVIEW YOUR ANSWERS AND GET BACK TO YOU SOON WITH SKINCARE!

Need help? [email protected]

2005 SW 35th St Unit 1404, Ankeny Iowa 50023

(866) 515-4947

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