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Makeup & Skincare Consultation
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22
Questions
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1
Name
First Name
Last Name
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2
Email
example@example.com
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3
Date of Birth
-
Date
Year
Month
Day
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4
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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United States
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Please Select
Please Select
United States
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
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5
Phone Number
Please enter a valid phone number.
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6
How long do you typically spend on your makeup a day?
10 Minutes or Less
15 - 30 Minutes
More than 30 Minutes
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7
How would you describe your skin?
Select ALL that apply
Dry
Oily
Acne Prone
Combination
Sun Spots/Hyperpigmentation
Redness or Rosacea
Eczema or Psoriasis
Scars or Dark Spots
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8
What type of makeup routine best describes you?
Chapstick, mascara, and out the door! Less steps are better. 7 Products top!
I prefer some coverage from a BB or CC Cream. Some quick eye makeup and a gloss is good! 10 -15 Products is great.
I love a snatched, contoured face with a simple eye. 10 - 15 products is still perfect.
I love all the makeup. Full glam all the way! Give me all the things!
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9
What type of products would you like to see included in your routine? (Check all that apply)
Primer
Foundation/BB or CC Cream
Concealer
Setting Powder
Simple Eye Makeup
Elaborate Eye Makeup
Blush
Contour Iteams
Eye Liner
Lipstick or Gloss
Eyebrows
Mascara
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10
What finish do you prefer for your foundation?
Matte Finish
Dewy/Glow Finish
Natural (Skin) Finish
Type option 4
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11
Do you need color correcting help from a primer? (Check all that apply)
Yes - I Struggle with Redness
Yes - I struggle with yellow/dull areas
I just need a regular clear primer
I would like a primer that adds additional moisture to my skin
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12
What shades of blush do you prefer? (Check all that apply)
Candy Pink
Berry Tones
Rosey/Red
Peachy
Neutral/Nude
Mauve
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13
What type of eye makeup do you prefer? (Check all that apply)
Simple. One color is pretty.
Choice of Neutrals: Golds, Browns, Taupes, and Champagne Colors.
Smokey Greys
I love Color!
No more than a trio palette
Cream Shadow
Liquid Shadow
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14
What type of eyeliner do you prefer? (Check all that apply)
Pencil Eyeliner
Mechanical/Scroll Up Eyeliner
Ink Eyeliner
Liquid Eyeliner
Gel Eyeliner
Black Only
Brown
Fun, Bright Colors on occasion
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15
What would you like for you mascara to do? (Check all that apply)
I don't wear mascara
Volume
Length
Volume + Length
Help with Growth
Darken Lashes
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16
What type of lip products do you prefer? (Check all that apply)
Lip Conditioner
Lip Plumper
Matte Liquid Lipstick
Lip Gloss
Traditional Creamy Lipstick
Neutral Colors (Nude and Natural Lip Colors)
Soft Colors (Mauves and Muted Tones)
Bold Colors (Deep Berry, Red, etc.)
BB Glaze (Like a Tinted Lip Butter)
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17
What are you interested in learning more about? (Check all that apply)
Simple Contour and Highlight
Type option 2
Eye Makeup Techniques (Brows, smoky eye, using colors, etc)
All the glam tips, and tricks (Eyes, lips, face) Everything!
I want more information on Skincare
I want more information on Haircare
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18
Make sure that your selfie is like the example below. In natural lighting (not a bathroom) and we can see your neck up. Otherwise your color match cannot be guaranteed :(
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19
Please Upload your no Makeup Selfie here
Drag and drop files here
Select files to upload
Max. file size
: 10.6MB
Browse Files
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20
Are there other items you would like to see in your cart? (Check all that apply)
Coffee Products
Household Cleaning Products
Men's Line of Products
Fragrance/Perfume
Sunscreen/ After Sun care
Surprise me with a few favorites
No extras at this time
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21
Are you interested in learning more about becoming a Farmasi Beauty Influencer?
Yes
No
Add Me to the Group with Success Stories Please
Type option 4
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22
How did you find me? (Facebook, IG, Tiktok, A friend - leave their name)
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