wait list application! | Crystal Clear Esthetics

Hi, I’m so excited you’re here! Thank you for your interest in my Crystal Clear Skin Blueprint program and for taking the next step toward healthier, clearer skin. This application will help me better understand your skin concerns, goals, and lifestyle to determine if the program is the best fit for you. Once submitted, you’ll also secure your place on my waitlist!

First & last name

Birthday

Month

Day

Year

How long have you been dealing with acne?

Have you worked with a professional before? (esthetician,dermatologist, health coach etc)

What have you tried in the past to help with your acne?

How does having acne effect your daily life?

Clear skin doesn’t happen by luck, it happens through consistency, strategy, and commitment. The Clear Skin Blueprint is a partnership: I’ll provide the customized plan, education, and guidance, but your results also depend on your willingness to stay consistent and trust the process.

Please check the boxes below to confirm you’re committed to each of the following:

I am willing to do my skincare twice daily.

I am willing to make life style changes that may be causing my acne. (diet, laundry products, hair care..)

I am willing to make time for bi-weekly appointments.

I am willing to make the investment.

Is there anything that may hold you back from not joining The Clear Skin Blueprint?

Please share any additional information, concerns, goals, or comments you feel would be helpful for me to know when determining if the Clear Skin Blueprint is the right fit for you.

Thank you so much for taking the time to complete this application! Please be sure to review the program details and pricing on Crystal Clear Esthetics if you have not already. I’m excited to learn more about you and will be in touch soon regarding the next steps!

-Crystal