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Mission Statement

 At BloomBoom, my mission is to help you understand your skin and care for it with intention. I believe skincare should be rooted in science, guided by nature, and made personal—because your skin reflects more than just products; it reflects your life, your health, and your story.

I'm here to offer education, tools, and thoughtfully chosen products that support your skin from the inside out —gently, honestly, and beautifully.

🌿 BloomBoom 30-Minute Facial Consultation Form

Birthday
Month
Day
Year

Health History

Skin Conditions:
Health Conditions:

Skin Profile

How would you describe your skin?
Oily
Dry
Combination
Sensitive
Normal
Acne-prone
Unsure
Do you experience:
Do you currently use:

Lifestyle Factors:

Sleep quality:
Poor
Fair
Good
Excellent
Water intake:
<3 cups/day
3–6 cups/day
7+ cups/day
Diet:
Balanced
High sugar/processed foods
Plant-based
Gluten-free
Other
Smoker:
Yes
No
Social
Exercise frequency:
Rarely
Occasionally
Regularly

Treatment Goals:

What are your main skin concerns?

Consent & Acknowledgement

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Date and time
Month
Day
Year
Time
HoursMinutes

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