Simple Solutions to Glowing Skin

Thank you for taking the time to complete this survey! You will receive a $25 gift card for submitting the survey and having a free session with me.

Please describe your skin type. *

Dry, flaky, dull

Oily / greasy

Neither dry or oily

Both oily and dry

First Name *

Last Name *

Email *

Please list any allergies including food. If no allergies, type none. *

Do you currently have a Mary Kay consultant? If yes, type their name. If no, type none.

If I was your Fairy Godmother, what 3 wishes could I help you with regarding your skin? Example (fine lines around eyes or lips, age spots, oily skin or dull skin) etc,,,

Do you have any questions ?

Cell in case I have questions or you are the winner *

After you submit, you will be invited to schedule a free session with me and receive a $20 gift card!