Hair Questionnaire
What does your hair need?
Skin Questionnaire
What does your skin need?
About you
Name
First Name
Last Name
Email
example@example.com
Phone Number
-
Area Code
Phone Number
Birthday
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
About your skin
How would you describe your skin?
*
Oily
Dry
Normal
Sensitive
Combination
Do you have...?
*
Sun damage
Age spots
Fine lines & wrinkles
Acne or big pores
Discoloration in skin tone
Dark circles or puffiness under eyes
Loose or baggy skin
Do you wear makeup?
Everyday!
Occasionally
Rarely
Never
How do you care for your face now? What products are you using?
*
What is your main skin goal?
*
Future communication
How would you like to be contacted?
Text messages
Voice notes
Phone call
Instagram
Facebook
Email
What info would you like right now?
Show me Before & After photos/videos.
Send me the cart so I can place my order!
Send me the website links to recommended products.
Send details (ingredients, directions) for recommended products.
Tell me about your experience with and knowledge of the products.
All of the above! I want to know everything and I'm ready to start!
Are you interested in the business?
I would love to build and earn with you!
I'm open to hearing about it.
I may be interested if I really love the products.
I'm not interested right now, but maybe in the future.
I would become a partner just for a bigger discount, but not to sell.
I'm not interested.
Submit
Should be Empty: