Beauty and Skin Care Survey.

What is your age? *

Under 19

In my 20's

In my 30's

In my 40's

In my 50's

In my 60's and up

How would you describe your face skin type (check all that appl)

Which of the following relate to you. Check all that apply *

Anti Aging for Glowing Skin

Foundation Matching Clinic

Lip Clinic use products for Luscious lips

5 Minute Makeover using 5 products

Full Name *

Email *

Phone *

Which of the following statements appeal to you? *

Wholesale Club, purchase your products at 50% off

Learn more about additional income

Earning free products by hosting with 2 or more guest

Love being just a customer

Is there a man in your life who might appreciate some products that make them look their best? *

Yes, definitely

Yes, perhaps

Not right now or not sure

Do you have any allergies? If none, type none *

If I was the Fairy Godmother and I could grant you 3 wishes regarding your skin, what would they be? What would you like me to help you with (e.g. crepey skin, bodycare, acne, enlarged pores, skincare, ect) *

Regardless of the brand what products have you been using on your face and body in the morning *

Regardless of the brand what products have you been using on your face and body at night? *

Do you have any questions ?

Date of birth *

Do you currently have a Mary Kay consultant? If yes please type their name or type no *

Thank you for filling out this form. When you hit submit, you will receive a text/email from me. Again, Thank you! You will be blessed with a $25 gift card to be used at you person/virtual session. You can contact me by texting (614-756-6112) Please leave any other questions or message below. Marcia mason

Marcia's Beauty and Skin Care Survey