Tell Me About Your Skin

1
Name* This field is required.
First Name
Last Name
2
What's your profession?* This field is required.
3
Email* This field is required.
example@example.com
4
Do you currently have a Mary Kay Indpendent Beauty Consultant?
Yes, you!
No, I need one.
Yes, I already have another consultant.
I am a consultant myself!
5
Phone Number* This field is required.
Area Code
Phone Number
6
Primary Skincare Needs* This field is required.Check the descriptions that apply most to you.
Sensitive Skin
Basic Routine, no aging concerns
Early to Moderate signs of aging
Advanced signs of aging
Mild to Moderate Acne
Naturally Derived Ingredients
Other
7
If I don't use moisturizer, my skin feels:* This field is required.
Dry/tight
Neither Dry Nor Oily
Oily
Oily in the T zone
Combination of both oily and dry
8
Skin Concerns/Needs* This field is required.What would make your skin happy? Check all that apply.
More radiant looking skin
Improved skin texture
Skin firmness and resilence
Lessen Large-looking pores
Need Extra Hydration
I have Deep wrinkles and expression lines
Need help controlling Excess oil
Looking for Maximum hydration/due to extremely dry skin
hyperpigmentation
hirsutism
More even looking skin
Other
9
Lip Area ConcernsLips matter!
Fine lines and wrinkles
Dry lips
Other
10
Eye area concerns/Needsselect all that apply
Deep wrinkles, puffiness and sagging
Tired-and puffy looking
Fine lines and Wrinkles
Gentle Makeup removal
Dark Circles
Other
11
Describe your Makeup LifeTell the truth, shame the devil, lol
I hate makeup! Au Natural
I'll do a lite beat, nothing fancy..
Full Glam Girl!
If someone showed me how to use makeup, I'd try it!
12
What else would you like me to know as your potential beauty consultant?Sharing is Caring!
Huge
Large
Normal
Small
Ok
Ok
13
How can we stay connected?Check all that apply
I'd love to have you as my Independent Mary Kay Beauty Consultant
I'd love to host a virtual party with my friends!
I'd like to hear about the Mary Kay Opportunity
I appreciate this experience! Feel free to contact me for future events!
Other
14
Let's stay connected?Check all that apply
Add me to your virtual customer base!
I don't mind receiving text from you either! Add me to the list!
Other
15
Would you like to be added to my personal FB group for tips, tricks, and tutorials on skincare, business, and makeup?
YESNO
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