Full Name:

Email:

1. Are you tired of always being late for work, church or social events?

A. Yes

B. No

2. Would you love like to look your best at the pool, beach , gym, golf course or dance floor?

A. Yes

B. No

3. Are you tired of applying makeup in a small mirror while trying to drive?

A. Yes

B. No

4. Are you Physically incapable or having difficulty applying makeup?

A. Yes

B. No

5. Are you a person who is allergic to conventional makeup?

A. Yes

B. No

6. Are you a person with oily skin who tends to shed makeup easily?

A. Yes

B. No

7. Are you a Nurse or Employee who is not allowed to wear makeup while in sterile environments?

A. Yes

B. No

8. Would you like to not have to purchase eyeliner and lipstick again?

A. Yes

B. No

9. Are you a burn survivor or a person with flaws or scars in your skin that you would like camouflaged?

A. Yes

B. No

10. Do you suffer from hair loss due to Cancer or Alopecia that effects your confidence and positive self esteem?

A. Yes

B. No

11. Would you love to ALWAYS wake up looking GREAT?

A. Yes

B. No

click