Colour Questionnaire

The purpose of this questionnaire is to provide us with a complete overview of your skin, hair and eye colouring and skin type to advise you on finding the right foundation colour and type along with recomendations for eyeshadow blush and lipstick colours.

Instructions:
Please read and answer each of the following questions carefully. We will respond to you within 24 hours with a recommended list of products and a daily regimen that will best address your specific skin care needs. We value your privacy. Any information that you provide us is strictly confidential.

Attention: Please use your valid email address. This form will send the results of the processing to the email address you enter below.

Full Name:
Email Address:
Phone:
Age Range:	under 18 19 - 28 29 - 35 36 - 50 51 - 65 65+
Your sex is:	female male
Choose the description that most closely matches your skin type.
	normal dry combination oily skin very oily/problem
How frequently does you skin breakout?
	almost always frequently rarely never
Choose the description that most closely matches your skin's reaction to the sun.
	Very white or freckled, always burns in sun, never tans (usually red hair) White, usually burns before tanning (usually blond hair) White to Olive, sometimes burns (light to medium brown hair) Medium Olive , rarely burns (Asian or Hispanic) Dark Brown, very rarely burns (African American) Black, never burns (African American)
Do you consider your skin
sensitive resilient not sure
What is your hereditary background?
Do you colour your hair ?
What is your natural hair colour ?
What colour is your hair now ?
What is your eye colour ?
What sort of coverage are you after ?
	light heavy
What products are you currently using?
What kind of look are you trying to achieve?