During your online skin consultation our skin experts will review your current skincare regimen and discuss your main skin concerns. We will then provide tailored product recommendations based on the best ingredients to match your skincare concerns and to achieve the best possible results. At Olivia’s Beauty Parlour we work with the top cosmeceutical brands and we will hand pick the best product recommendations for your skin type and to achieve desired results.

Your tailored regime will be emailed to you following consultation and we are here to support you through your skin journey. We will follow up with you two weeks after your initial consultation, to check that all is going well and that you understand how to use the products correctly.

This process prevents you wasting money on products that are not suitable for your skin.

*The consultation fee of €30 is fully redeemable toward your recommended product regime provided products are purchased within 7-days following consultation.

PLEASE FILL OUT OUR FORM BELOW AND WE WILL GET BACK TO YOU.

    CONTACT DETAILS

    NAME

    EMAIL

    PHONE NUMBER

    DATE OF BIRTH

    ADDRESS

    MEDICAL CONSENT

    ARE YOU CURRENTLY TAKING ANY MEDICATION PRESCRIBED BY A GP OR ANY OTHER PRACTITIONER?

    ARE YOU CURRENTLY TAKING ANY MEDICATION CONTAINING VITAMIN A?

    LIST ANY VITAMINS/SUPPLEMENTS YOU TAKE REGULARLY?

    ARE YOU CURRENTLY PREGNANT, PLANNING PREGNANCY OR BREASTFEEDING?

    DO YOU HAVE ANY ALLERGIES? IF YES PLEASE SHARE DETAILS:

    SKIN QUESTIONNAIRE

    WHAT IS YOUR SKIN TYPE?

    WHAT ARE YOUR MAIN SKIN CONCERNS?

    DO YOU HAVE HISTORY OF THE FOLLOWING?

    HOW SENSITIVE IS YOUR SKIN?

    DO YOU APPLY SPF DAILY? YesNo

    ARE YOU PRONE TO OR HAVE THE FOLLOWING?

    DO YOU SUFFER ANY OF THE FOLLOWING?

    ARE YOU HAPPY WITH YOUR CURRENT SKINCARE REGIME/RESULTS? YesNo

    WHAT ARE YOU HAPPY WITH IN YOUR SKIN?

    WHAT ARE YOU UNHAPPY WITH IN YOUR SKIN?

    DO YOU WEAR MAKEUP DAILY? YesNo

    WHAT IS YOUR DIET LIKE?

    DO YOU HAVE ANY HEALTH CONCERNS OR AUTOIMMUNE DISORDERS?

    RATE YOUR LEVEL OF STRESS, 5 BEING THE HIGHEST:

    CURRENT SKINCARE ROUTINE

    CLEANSER:
    TONER:
    SERUM:
    MOISTURISER:
    MASK:
    EYE CREAM:

    DO YOU DO THIS AM AND PM? IS THERE ANYTHING ELSE NOT LISTED THAT YOU USE ON YOUR SKIN?

    DO YOU HAVE A NUT ALLERGY? YesNo

    IMAGES OF SKIN

    Please upload the following for a member of our team to analyse your skin and your skincare recommendations.
    Clear images required with no make up or filters applied.

    FRONT
    LEFT
    RIGHT

    I DECLARE THAT I HAVE COMPLETED THIS FORM AS ACCURATELY AS POSSIBLE.

    ARE YOU ATTENDING A GP OR CONSULTANT FOR ANY OTHER ISSUES/CONDITIONS? YesNo

    Once you have submitted your form, click below and purchase your consultation. We will then contact you to organise your virtual consultation.

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