Personalized Beauty Consult

1

What is your name?* This field is required.

First Name

Last Name

2

What is your email address?* This field is required.

example@example.com

3

What is your phone number?* This field is required.

Please enter a valid phone number.

4

Which of these applies to you?* This field is required.

I am your customer

I am a customer of another Brand Partner

I've never ordered from Bellame before

I am a Bellame Brand Partner

Other

5

Which categories would you like a consult on?* This field is required.(Choose all that apply)

Makeup

Skincare

Haircare

6

Do you have any allergies?

7

How would you describe your skin type?* This field is required.

Oily

Combination

Normal

Dry

8

If I could change one thing about my makeup, it would be this * .

9

Which categories would you like a consultation on?* This field is required.

Eyes

Face

Lips

Brushes

10

Talk to me! Describe your daily makeup routine, the amount of coverage you're looking for, and your preferred finish.(Optional)

11

How do you usually prep your skin before applying foundation?* This field is required.

Moisturizer

Face Oil

Primer

I don't prep

Other

13

Do you tan or burn?* This field is required.

Tan

Burn

14

What color are your eyes?* This field is required.

A

B

C

D

15

What color are your veins?* This field is required.

Green/Olive

Blue/Green

Blue/Purple

16

Would you like me to match you for any of the following?* This field is required.

Blemish Covering Concealer (acne, dark spots, etc)

Contouring Concealer (enhances features and sculpts face)

Brightening Concealer (gives a brightening effect for a more youthful glow)

No

17

If you know the brand and shade(s) of your current foundation and concealer, and you feel like it's a perfect match, put that information here!(Optional)

18

Talk to me! How confident do you feel with applying eyeshadow? Describe what you currently do with your eye makeup and share your goals for achieving your ideal eye look.(Optional)

19

Do you prefer liquid or pencil eyeliner?* This field is required.

Liquid

Pencil

I use both

Neither

20

Which do you prefer?* This field is required.

Brown eyeliner

Black eyeliner

I don't know which to use

Other

21

Which of these colors is closest but lighter than your hair color?* This field is required.

Taupe

Deep Brown

Auburn

22

Which do you prefer?* This field is required.

Lipsticks

Lip Gloss

Lip Liner + Gloss

Other

23

What are your favorite lip colors?* This field is required.

Pinks

Reds

Browns/Neutral

Other

24

Talk to me! Tell me what you're looking for, what your struggles are, etc. when it comes to lips!(Optional)

26

If I could change one thing about my skin, it would be this .

28

Does your skin tend to be sensitive to new products or ingredients?* This field is required.

Yes, very sensitive

Somewhat sensitive

Not sensitive

29

Talk to me! What is your current skincare routine? How do you feel about the products you are using?(Optional)

30

What areas do you feel need the most attention?* This field is required.

Face

Neck

Eye area

Lips

31

If I could change one thing about my hair, it would be this * .

32

What are your primary hair concerns?* This field is required.(Select all that apply.)

Dryness and damage

Coarse and textured hair

Oily scalp and hair

Frizz and Flyaways

Dry Scalp, Build Up or Flakiness

33

What is your current haircare routine?* This field is required.Please list all products you are currently using and how you feel they are performing.

34

Which best describes your hair shape?* This field is required.

Straight

Wavy

Curly

Coily

35

How thick is your hair strand?* This field is required.(TIP: Hold a single hair strand between your fingers. If the strand is barely visible to the eye, you have fine hair. If you can easily feel it, your hair is of medium texture. If running your fingers along the strand reveals a slightly rough texture and noticeable strength, you possess coarse hair.

Fine

Medium

Coarse

36

How often do you wash your hair?* This field is required.

37

How often do you feel your hair needs extra hydration?* This field is required.

Occasionally, for a boost of shine

Rarely, it tends to get oily fast

Frequently, to improve softness and manageability

38

Do you have build up on your scalp (oil, flaking, etc)?* This field is required.

None/Little

Some

Extreme

39

What is your desired outcome from your hair routine?* This field is required.

Overall rejuvenation and repair

Extreme hydration and manageability

Purification and Oil Control

40

Do you take any beauty supplements such as Collagen, Hair/Skin/Nails or a Hydration Supplement? If so, please list what you are currently using.* This field is required.

41

Are you sure you don't want a makeup consultation?* This field is required.

YES, I have the perfect makeup routine already!

OK, let's do a makeup consult too!

42

If I could change one thing about my makeup, it would be * .

43

Which categories would you like a consultation on?* This field is required.

Eyes

Face

Lips

Brushes

44

Talk to me! Describe your daily makeup routine, the amount of coverage you're looking for, and your preferred finish.(Optional)

45

How do you usually prep your skin before applying foundation?* This field is required.

Moisturizer

Face Oil

Primer

I don't prep

Other

47

Do you tan or burn?* This field is required.

Tan

Burn

48

What color are your eyes?* This field is required.

A

B

C

D

49

What color are your veins?* This field is required.

Green

Blue/Green

Blue

50

Would you like me to match you for any of the following?* This field is required.

Blemish Covering Concealer (acne, dark spots, etc)

Contouring Concealer (enhances features and sculpts face)

Brightening Concealer (gives a brightening effect for a more youthful glow)

No

51

If you know the brand and shade(s) of your current foundation and concealer, and you feel like it's a perfect match, put that information here!(Optional)

52

Talk to me! How confident do you feel with applying eyeshadow? Describe what you currently do with your eye makeup and share your goals for achieving your ideal eye look.(Optional)

53

Do you prefer liquid or pencil eyeliner?* This field is required.

Liquid

Pencil

I use both

Neither

54

Which do you prefer?* This field is required.

Brown eyeliner

Black eyeliner

I don't know which to use

Other

55

Which of these colors is closest but lighter than your hair color?* This field is required.

Taupe

Deep Brown

Auburn

56

Which do you prefer?* This field is required.

Lipsticks

Lip Gloss

Lip Liner + Gloss

Other

57

What are your favorite lip colors?* This field is required.

Pinks

Reds

Browns/Neutral

Other

58

Talk to me! Tell me what you're looking for, what your struggles are, etc. when it comes to lips!(Optional)

60

Are you sure you don't want a haircare consultation?* This field is required.

YES, I have the perfect haircare routine already!

OK, let's do a haircare consult too!

61

If I could change one thing about my hair, it would be this * .

62

What are your primary hair concerns?* This field is required.(Select all that apply.)

Dryness and damage

Coarse and textured hair

Oily scalp and hair

Frizz and Flyaways

Dry Scalp, Build Up or Flakiness

63

What is your current haircare routine?* This field is required.Please list all products you are currently using and how you feel they are performing.

64

Which best describes your hair shape?* This field is required.

Straight

Wavy

Curly

Coily

65

How thick is your hair strand?* This field is required.(TIP: Hold a single hair strand between your fingers. If the strand is barely visible to the eye, you have fine hair. If you can easily feel it, your hair is of medium texture. If running your fingers along the strand reveals a slightly rough texture and noticeable strength, you possess coarse hair.

Fine

Medium

Coarse

66

How often do you wash your hair?* This field is required.

67

How often do you feel your hair needs extra hydration?* This field is required.

Occasionally, for a boost of shine

Rarely, it tends to get oily fast

Frequently, to improve softness and manageability

68

Do you have build up on your scalp (oil, flaking, etc)?* This field is required.

None/Little

Some

Extreme

69

What is your desired outcome from your hair routine?* This field is required.

Overall rejuvenation and repair

Extreme hydration and manageability

Purification and Oil Control

70

Are you sure you don't want a skincare consultation?* This field is required.

YES, I have the perfect skincare routine already!

OK, let's do a skincare consult too!

71

If I could change one thing about my skin, it would be blank .

73

Does your skin tend to be sensitive to new products or ingredients?* This field is required.

Yes, very sensitive

Somewhat sensitive

Not sensitive

74

Talk to me! What is your current skincare routine? How do you feel about the products you are using?(Optional)

75

What areas do you feel need the most attention?* This field is required.

Face

Neck

Eye area

Lips

76

To help me better understand your unique beauty needs, please consider submitting a photo of yourself on the next step.

77

Upload your photo:(Click "Next" if you prefer not to submit it now. You can text it later to (980)370-7744. Pro tip, screenshot this page now. When you are ready to send the photo, go to the screenshot on your camera roll and hold down the number to text it.)

Drag and drop files here

Select files to upload

Max. file size: 10.6MB

78

Now, let me get to work! I'll put together a complete Personalized Beauty Guide for you. It will be e-mailed to you, but I also would love to schedule a Review Call so we can talk through everything and I can make sure we are on the same page about your beauty goals. Which would you prefer?* This field is required.

Schedule a 15-minute call to review my results (RECOMMENDED!)

Only receive my personalized results via email.

79

Schedule a Call with Me* This field is required.

80

Anything else you'd like for me to know?