Jay-Jill Cosmetics Glamtique Complimentary Brow & Skin Care Consultation Request Form
What is your biggest concern when it comes to beauty ?
*
Skin Care
Sparse/Thinning Eyebrows
Makeup Application
Other
When it comes to buying makeup, What is your biggest problem ?
*
Matching Foundation
Finding lipstick/gloss that last
Eyeshadow Creasing
Affordability
Pigmentation (colors that pop)
Other
Have you ever had a Facial ?
*
Yes
No
Have you ever had your brows Tinted or Microbladed ?
*
Yes
No
Are you interested in Mobile Spa Services ?
*
Yes
No
Other
Consultations are scheduled on Saturdays Only between 1pm -4pm
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Day
Year
Date
Time
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Hour
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Minutes
AM
PM
AM/PM Option
Name
*
First Name
Last Name
Phone Number
*
-
Area Code
Phone Number
Email
*
example@example.com
Submit
Should be Empty: