Priestley Cosmetics Consultation Form for Appointment Scheduling

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* 1. Is this your first time scheduling a makeup appointment with Ce'Mone?

yes

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* 2. When would you like to schedule an appointment?

Date / Time

Date

Time

AM/PM

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* 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)

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* 4. Does your makeup look require false eye lash application?

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* 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)

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* 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

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* 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

Priestley Cosmetics Consultation Form for Appointment Scheduling

Question Title

* 1. Is this your first time scheduling a makeup appointment with Ce'Mone?

Question Title

* 2. When would you like to schedule an appointment?

Question Title

* 3. What type of cosmetic service do you require?

Question Title

* 4. Does your makeup look require false eye lash application?

Question Title

* 5. What type of skin do you have?

Question Title

* 6. Please enter the address the appointment location address and contact.

Question Title

* 7. What is your skin tone for foundation match purposes?

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* 8. What is your contact information?