General Information

How much is a consultation?

There is a €30 deposit taken at booking which is then redeemable if you spend €80 or more off products that are purchased on the day of your consultation. If you decide to not purchase products then the consultation cost of €30.00 is not redeemable.

How can I get a consultation?

Fill out the form below with as much detail as possible and pick a day and time that suits you for our team to give you a call. Must be between 9am and 7pm. We will call you at the chosen time. You can also choose either a zoom call or a phone call, whichever you prefer.

Personal Details

    Your name: *

    Date of Birth: *

    Your email: *

    Address: *

    Medical Consent

    Please tick the appropriate box below.

    Are you currently taking any medication prescribed by a GP or any other practitioner? *

    If yes please please provide further information.

    Are you currently taking any medication containing vitamin A? *

    If yes please please provide further information.

    List any vitamins/supplements that you take regularly?

    Are you currently pregnant, planning pregnancy or breastfeeding? *

    If yes please please provide further information.

    Are you attending any GP or other practitioner for any other conditions? *

    If yes please please provide further information.

    Do you have any allergies? E.g. Aspirin, allergies to ingredients in products? *

    If yes please please provide further information.

    Skin Questionnaire

    Please tick the appropriate box below

    What is your skin type? *

    What are your main skin concerns? *

    Do you have a history of the following? *

    How sensitive would your skin be? *

    Do you apply SPF daily? *

    Are your prone to or currently have the following?*

    Do you get any of the following? *

    Are you happy with your current skincare & seeing results? *

    What are you unhappy with about your skin?

    What are you happy with about your skin?

    Do you wear makeup daily? *

    Tell me what your diet is like? *

    Do you have health concerns or autoimmune disorders?

    Rate your level of stress 1-5, 5 being the highest. *

    What is your current skincare routine? Please complete each below.





    Do you do this AM and PM and is there anything additional you use on the skin that’s not listed above? *

    Would you be interested in our home facial kit? *

    Do you have a nut allergy?*

    What are your skincare goals/what would you like to achieve *

    Images of Skin

    Please upload the following for a member of our team to analyse your skin and you skincare recommendations.

    I agree I have given the correct information above.

    Are you attending any GP or other practitioner for any other conditions?*