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Makeup Intake -Form Fill
Section One
Q1
Full Name*
First Name
Q2
Full Name*
Last Name
Q3
Appointment Date*
Date
Q4
Phone Number*
Q5
Email*
Q6
Birthday Day (for promotions)
Date
Q7
How often do you wear makeup?*
I have an everyday look!
Special Occasions mostly
This is my first time!
Almost NEVER
Q8
Skin Type*
Oily
Dry
Normal
Combination (Oily & Normal/Dry)
Aging
Q9
Skin Concerns*
Acne
Dark Spots
Sensitive Skin
Aging Skin
Large Pores
Dark Circles
Eye Bags
Redness
Skin Texture
Under Eye Wrinkles
Forehead Wrinkles
Q10
Are you wearing contacts?*
Yes
No
Q11
Are your eyes sensitive or typically water?*
Yes
No
Q12
What’s the occasion?*
Q13
What appointment(s) are you receiving today?*
Makeup Application.
Deluxe Makeup Application.
1-on-1 Personal Makeup Class.
Q14
What kind of lip color are we doing today?*
Nude/Brown.
Pinks and Corals.
A nice purple.
A red for my complexion.
Dark lips, please!
Whatever the artist feels looks best!
Q15
Does Within Cosmetics have permission to record, take photographs, and/or post these images on social media platforms?*
Yes
No
Other
Q16
If "Other" was chosen on the last question, please elaborate.
Q17
What is included in your daily skin care routine?*
Cleanser
Moisturizer
Toner
Serum
Exfoliator
SPF above 30
Q18
Can you list those skin care products here:
Q19
Do you have any allergies (foods, cosmetics, materials, etc.)? List them here:*
Q20
Are there any colors, products, or makeup application steps you don't want the artist to perform today? List them below.
Q21
Are you comfortable with strip lashes being applied today?*
Yes.
No.
Maybe, let's see which ones you have.
Mascara only, please.
Q22
Are you familiar with how to touch-up your makeup throughout your wear?*
Yes
No
Q23
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.
Q24
Is there anything you want the artist to know?
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