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SKINCARE: PLEASE SELECT ONE *

If you are unsure what regimen might be the best fit for you, please take our
Skin Care quiz first by clicking HERE.

Countertime Collection - Anti-aging
Countermatch Collection - Dry/combination skin
Countercontrol Collection - Oily/acne prone skin
Counterstart - basic skincare; cleanser and moisturizer only
I am not interested in skincare today

Makeup: Please select ONE *

If you are unsure what Skin Twin shade might be the best fit for you,
please reference our shade finder first by clicking HERE.

 Dew Skin (with spf) - Fair
Dew Skin (with spf) - Light
Dew Skin (with spf) - Medium
I need a Dew Skin Shade outside of these options, please contact me via email
Skin Twin - Shades Fair 110 thru Medium 350
Skin Twin - Shades Tan 410 thru Tan 460
Skin Twin - Shades Dark 510 thru Deep 650
I know my exact Skin Twin shade (please include the shade in the comments below and I will send that ONE shade)
I am not interested in makeup today

Bonus options: Please select ONE *

If you are looking to add on to your current regimen, or
boost your current routine please choose an option below.

Countersun - sunscreen
All Bright C Serum
Skin Twin Creamy Concealer - Fair thru Light 2
Skin Twin Creamy Concealer - Medium 1 thru Tan 3
Skin Twin Creamy Concealer - Dark 1 thru Deep 2
I know my exact Skin Twin Creamy Concealer shade
(please include the shade in the comments below and I will send that ONE shade)
I am not interested in a bonus option today

In case I have an extra suggestion or sample to send your way,
please tell me your skin type.

SKIN TYPE*

Normal
Combination
Oily
Dry

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want to learn more?

Would you like a lookbook (catalog) and information on the business of Beautycounter? (information about becoming a consultant, earning commissions, consultant discount, etc.) *

newsletter?

Would you like to be added to my newsletter list to stay up to date on promotions and announcements? I promise not to spam you!

Are you interested in cleaning up your personal care products with Beautycounter, but would like to try before you buy? 
Please select samples of the products you are interested in purchasing. Samples should be used to test texture, smell and to get a feel for the overall product. 

I send samples out each Monday following your survey submission and simply ask that if you are looking to try something you are not currently purchasing from another Beautycounter consultant. 

I'm so excited to help you in your journey toward #BetterBeauty! 

With love, Christina

sample request form