Full Name*

First Name Last Name

Appointment Date*

Date

Phone Number*

Please enter a valid phone number.

Email*

example@example.com

Birthday Day (for promotions)

Date

How often do you wear makeup?*

I have an everyday look! Special Occasions mostly This is my first time! Almost NEVER

Skin Type*

Skin Concerns*

Are you wearing contacts?*

Yes No

Are your eyes sensitive or typically water?*

Yes No

What’s the occasion?*

What appointment(s) are you receiving today?*

Makeup Application. Deluxe Makeup Application. 1-on-1 Personal Makeup Class.

What kind of lip color are we doing today?*

Does Within Cosmetics have permission to record, take photographs, and/or post these images on social media platforms?*

Yes No Other

If "Other" was chosen on the last question, please elaborate.

What is included in your daily skin care routine?*

Can you list those skin care products here:

Do you have any allergies (foods, cosmetics, materials, etc.)? List them here:*

Are there any colors, products, or makeup application steps you don't want the artist to perform today? List them below.

Are you comfortable with strip lashes being applied today?*

Yes. No. Maybe, let's see which ones you have. Mascara only, please.

Are you familiar with how to touch-up your makeup throughout your wear?*

Yes No

Did you provide the artist with pictures of the look you wanted to recreate?*

Yes No I would like to see some options for my occasion. The artist can create a look based on my needs.

Is there anything you want the artist to know?

I First Name Last Name acknowledge that I have filled out all the information in this document to the best of my knowledge. I understand that Within Cosmetics LLC. is not responsible for any allergic reactions due to any service provide.

Signature

Appointment Day Form