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Priestley Cosmetics Consultation Form for Appointment Scheduling
1.
Is this your first time scheduling a makeup appointment with Ce'Mone?
yes
no
2.
When would you like to schedule an appointment?
Date / Time
Date
January
February
March
April
May
June
July
August
September
October
November
December
1900
1901
1902
1903
1904
1905
1906
1907
1908
1909
1910
1911
1912
1913
1914
1915
1916
Su
Sunday
Mo
Monday
Tu
Tuesday
We
Wednesday
Th
Thursday
Fr
Friday
Sa
Saturday
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Hour
Time
:
Minutes
AM/PM
-
AM
PM
3.
What type of cosmetic service do you require?
Group Session/ Class
One on One coaching
Special Events Makeup (Prom, Dinner Date, Baby Shower, etc.)
Wedding
Special Appearance (Photo-shoot, Television, Stage, Hosting, etc.)
Other (please specify)
4.
Does your makeup look require false eye lash application?
Yes
No
Maybe (would like to discuss further)
5.
What type of skin do you have?
Oily Skin (Excessive oiliness on face throughout the day)
Dry Skin (Tightness or irritation, textured skin)
Combination Skin (Oily only in certain facial areas, dry or normal in certain facial areas)
Normal Skin (Not oily, not dry, not sensitive)
Sensitive Skin (Everything Breaks me out and or, I have skin concerns or allergies that keeps me from using certain products)
6.
Please enter the address the appointment location address and contact.
Name
Company
Address
Address 2
City/Town
State/Province
ZIP/Postal Code
Country
Email Address
Phone Number
7.
What is your skin tone for foundation match purposes?
Fair (Gwen Stefani, Emma Stone, Porcelain Skin etc.)
Medium Fair (ex: Kim K, Heidi Klum, Tanned or Beige Complexion etc.)
Medium (ex: Nicki Minaj, Rihanna, Beige Golden Complexion etc.)
Medium Brown (ex: Beyonce, Toni Braxton, Golden Brown Complexion etc.)
Brown Skin Girl (skin just like pearlsss) *insert hearts* (ex: Lupita, Kelly Rowland, Ce'Mone)
Unsure or Decline to answer
8.
What is your contact information?
Current Progress,
0 of 8 answered