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Skin Care Survey
Your Skin Care Survey will help to personalize your Deluxe Pampering with the correct products for cleansing, moisturizing, daytime and nighttime serums, eye cream, charcoal mask and microdermabrasion!
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Skin Care Survey
Your First and Last Name

 *
Your Phone Number *
What's your current occupation? *
Who invited you to this event? Please put their first and last name *
Your mailing address  ( Needed for your Pampering Pack and/or any product prizes your may win) *
What's your email address? *
What's the best time for your appointment? *
What's your birthday ( month and  day ) ? *
Please choose one
Is your face:
 *
What do you currently use to take care of your skin? *
If you could change something about your skin, what would you change? *
If you were  invited to a follow up makeup and glamour event, would you enjoy that? *
Which best describes you? *
Please watch this quick video and return this form before your  appointment  

What was your favorite part of the video or what was something that impressed you in the video? *
Thank you SO MUCH for sending this completed form back BEFORE your appointment!                                               
Do you have any questions?
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