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Name *
E-mail Address *
Mailing Address *
City *
State *
Zip Code *
What is your age? * 17 or younger 18 to 24 25 to 34 35 to 44 45 to 54 55 to 64 65 to 74 75 or more
1) What color clothes have you had the most compliments on from other people when you wear them? * Earth Tones, Olive, Rust and Creams Bright Bold Colors, Shocking Pink, Royal Blue, Bright White and Blacks Soft Pastels,Peach, Aqua and Ivory Vivid Colors, Periwinkle Blue, Rose Pink and Sky Blue
2) What color are your eyes? * Black Black/Brown Red/Brown Golden Brown Amber Hazel Light Brown Brown with green or blue Light Gray/Blue Dark Blue/Violet Blue with white flecks in Iris Bright clear Blue Teal Blue Aqua Blue Blue/Green Vivid Green Gray/Green Green with gold flecks in iris Olive Green Green with white flecks in Iris
3) What color is your natural hair (not dyed color)? * Light Blonde Golden Blonde Strawberry Blonde Ash Blonde Medium Blonde Dark Blond Light Auburn Medium Auburn Dark Auburn Light Golden Brown Medium Golden Brown Dark Golden Brown Light Ash Brown Medium Ash Brown Dark Ash Brown Salt & Pepper Grey White/Silver Black
4) If natural hair color now is Grey or White/Silver, what was it in your 20's? Light Blonde Golden Blonde Strawberry Blonde Ash Blonde Medium Blonde Dark Blond Light Auburn Medium Auburn Dark Auburn Light Brown Medium Brown Dark Brown Black
5) Do the veins on the underside of your wrist have a green or blue tint? *
6) What color clothing do you feel you look your best in? * Earth Tones, olive, Rust and Creams Bright Bold Colors, Shocking Pink, Royal Blue, Bright White and Blacks Soft Patels,Peach, Aqua and Ivory Vivid Colors, Periwinkle Blue, Rose Pink and Sky Blue
7) How would you discribe your skin color * Very Light no color in cheeks Very Light with rosy Cheeks Light no color in cheeks Light with rosy Cheeks Light with freckles Light/Medium Light/Medium with freckles Medium Medium with freckles Medium/Deep Deep deep/Dark Very Dark
8) What skin type do you have? *
9) How does your skin respond to being out in the sun? *
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