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Private Concierge™ Application

For private skin guidance built around how your life moves.
Private Concierge™ is an ongoing skin guidance experience for the woman who is ready for more than scattered product advice. This application helps me understand where your skin is now, what has not been working, and whether this level of private support is the right next step for you. This is not a product recommendation form. It is the first step toward a more guided, consistent, and intentional skin care experience.

Your Information

Full Name

Email

Phone Number

Where are you located?

How did you hear about Sensuous Skin Spa?

How did you hear about Sensuous Skin Spa?
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Your Current Skin State

What are you currently experiencing with your skin?

What are you currently experiencing with your skin?

What feels most frustrating about your skin right now?

When does your skin usually start to feel or look "off" ?

When does your skin usually start to feel or look "off" ?
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How long has this been going on?

How long has this been going on?
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Your Daily Rhythm

How many times a day does your skin usually come in contact with water?

How many times a day does your skin usually come in contact with water?
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How often do you perform wudu?

How often do you perform wudu?
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What does your average day require from your skin?

What does your average day require from your skin?

Your Current Routine

What products are you currently using?

Please include your cleanser, toner, serums, moisturizer, SPF, exfoliants, treatments, masks, prescriptions, or anything you use regularly.

Are you currently using any active ingredients?

Are you currently using any active ingredients?

Have you worked with an esthetician, dermatologist, or skin professional before?

Have you worked with an esthetician, dermatologist, or skin professional before?
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What did you like or dislike about your previous skin support?

Your Readiness

What kind of support are you looking for right now?

What kind of support are you looking for right now?

How ready are you to follow a guided routine consistently for the next 90 days?

How ready are you to follow a guided routine consistently for the next 90 days?
Not ReadyFully Ready

Are you open to replacing products if your current routine is not supporting your skin?

Are you open to replacing products if your current routine is not supporting your skin?
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What has stopped you from being consistent in the past?

What has stopped you from being consistent in the past?

Investment Awareness

Are you prepared to invest in both professional guidance and the products needed to support your skin?

Are you prepared to invest in both professional guidance and the products needed to support your skin?
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The starting investment for Private Concierge™ is $645/month. Does this feel aligned with the level of support you are seeking?

The starting investment for Private Concierge™ is $645/month. Does this feel aligned with the level of support you are seeking?
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If accepted, when would you want to begin?

If accepted, when would you want to begin?
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Final Reflection

Why do you feel Private Concierge™ may be the right next step for you?

What would change for you if your skin finally felt consistent, supported, and understood?

Is there anything else you want me to know before reviewing your application?