Emily’s Makeup Match Form

Your Makeup Match

WITH EMILY KLOTZ
Your Name*

First NameLast Name
Your Email*
example@example.com
Mobile Phone Number
Please enter a valid phone number.
Where do you live currently live?

United StatesCanadaOther
Please upload your selfie below, so that I can ensure I get the perfect color match for you and your skin.

Kindly ensure that your selfie is a makeup free selfie, and that you give your camera lens a little cleaning beforehand; this will allow us to get the best results.

*BONUS TIP: wear neutral colors like grey, white, or black when taking your selfie. Doing so will help me get the perfect color match.*
Upload your selfie here:

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Help me get to know your health & beauty needs.
What does your current makeup routine look like?

Full CoverageLight CoverageSpecial Occasions/Nights OutRarely/Don't Have TimeI Want To Learn MoreOther
What type of skin do you have?

NormalOilyDryCombination
Do you have any other skin concerns?

Under Eye DiscolorationAcne/ScarringFine Lines/WrinklesSensitiveRedness/RosaceaAge Spots/Sun SpotsDull/Lacking BrightnessOther
Would you like skincare suggestions?

YesNo thanks
What color are your eyes?
Would you like some eyeshadow color suggestions?

YesNoMaybe another time
What colors do you wear & enjoy the most? Makeup + clothes
Are you interested in any extras? These are items you will need eventually, and you either add them now or save it as a wish list for a later order.

Setting Powder or Setting SprayPerfector Sponge (use daily)Brush Cleaning Spray (use weekly)Deep Cleaning Brush Soap (once a month)Brush Cleaning Tile (use daily with eyeshadow)IlluminatorExtra brushes for face + eyes + brows + lips (the right tools help you LOVE the makeup even more!)Brow colorPerfumes
Are you interested in free makeup by hosting a beauty party in person or online?

Let’s do it!Tell me moreNo thank you
Are you interested in joining my team? Extra income & free health+beauty products!

Yes, more info please!NoMaybe
Thank You, for taking the time to complete my color match form. Please allow a minimum of 24 hours to receive your color match results. In the meantime if you have any additional concerns or questions, please feel free to leave them below.
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Your Makeup Match

Help me get to know your health & beauty needs.