Shade Match Form
Name
*
First Name
Last Name
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Check your veins. Are they Cool ( purple or blue), Neutral (blue-green) or Warm (green)?
*
How would you describe the texture of your skin?
Smooth
Rough
Bumpy( pimples, scarring etc)
Dryness
Fine Line & Wrinkles
Large Pores
Uneven ( blotchy or discolored)
Excessive Oiliness
Back
Next
Skin Tone
Very Fair
Fair
Medium Light
Medium Dark
Dark
Dark Tan
Very Dark
Do you have any redness? ( including acne)
No redness
Very slight redness
Some redness
Deep redness
Do you have dark under eyes or spots?
No
Slight darkness with blue/ purple tones
Slight darkness with red tones
Yes, dark brown or purple tones
Do you have rosacea?
No
Yes, slight
Yes
What type of makeup looks do you prefer?
*
Neutral
Bold
Attach your makeup free selfie!
*
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Choose a file
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Are you interested in becoming an Axxis Beauty Advisor or Agent ?
*
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