Skincare Questionnaire

I am so excited help you with your skin health. Please fill this questionnaire out to the best of your ability and Lauryn will get back with you shortly.

Which of these are your main concern?
- Acne
- Rosacea
- Eczema
- Dark Spots or Hyperpigmentation
- Fine Lines + Wrinkles
What products are you currently using?
Do you feel like you need an entirely new routine or just making some additions/adjustments?
What would you say is your daily struggle in regard to your skin?
How would you describe your pores? please describe their size/noticeability
Do you experience redness, if so when?
How would you describe your skin’s shine?
How does your skin feel when you touch your face (if different in T-zone and cheeks please specify)?
Once you’ve reached the afternoon, what do you notice has changed about your skin since morning?
How does your skin feel after you wash your face?
Do you experience breakouts, if so how often and where?
How would you describe your diet and daily activity level?
Do you have any questions?
Please enter your first and last name*
Please enter your email address (so I can contact you with any further questions and your suggested routine)*
Consent
Yes, sign me up for special deliveries from The Copper Label in my inbox. We won’t send you junk and we promise to always keep your information private.

Haircare Questionnaire

I am so excited help your hair reach it’s fullest potential. Please fill this questionnaire out to the best of your ability and Lauryn will get back with you shortly.

What products are you currently using?
Do you feel like your routine is missing something or that your products aren’t working?
what would you say is your daily struggle in regard to your hair?
Which best describes your hair? (Straight, wavy, curly, coily)
Which best describes your hair texture? (fine, medium, coarse)
Does your hair hold a style for very long?(describe)
How do your ends feel?(dry, normal, oily)
Describe the condition of your scalp.
Do you have any questions?
Please enter your first and last name*
Please enter your email address (so I can contact you with any further questions and your suggested routine)*
Consent*
Yes, sign me up for special deliveries from The Copper Label in my inbox. We won’t send you junk and we promise to always keep your information private.*

MENU

Skincare Questionnaire

Haircare Questionnaire

special deliveries.

© 2020 the Copper Label. All rights reserved.

Privacy Policy

Terms & Conditions