Cosmetics & Skin Care Assessment

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Audessa Inc. operates as Audessa. We would like you be completely satisfied with your Audessa, Inc. products. You may qualify for a gift, by sharing your opinion and helpful suggestions. Please contact us to remedy any concerns, before you return products, in their original condition within 10 days for a refund or credit.

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My Cosmetics & Skin Care Assessment Provided by - Audessa Siccardi 760-415-5510
Name:	Email:
Day Phone:	Evening Phone:
Best Time to Call:	City: State: Zip:

1. My *eye color* can best be described as:	2. My current hair color is:
3. The color of my highlights are:	4. My *natural hair color* is:
I have no highlights	5. My skin tone is: 6. Some think my skin tone is:
7. My favorite colors are:	8. People say I look good in these colors:
9. Please select the one statement that best describes your Skin Type:
10. What would you change about your skin?	11. I prefer my makeup to look:

12. I could benefit from products that:
a. Remove Eye Makeup Gently	b. Reduce Eye-area Puffiness
Yes No	Yes No
c. Minimize the appearance of fine lines and wrinkles	d. Minimize the appearance of fine lines and wrinkles around the eye area
Yes No	Yes No
e. Firm, brighten & provide intense moisturization around the eye area	f. Smooth my dry lips
Yes No	Yes No
g. Keep lip color from feathering and bleeding	h. Help clear and prevent blemishes
Yes No	Yes No
i. Control oil throughout the day	j. Even skin tone and minimize fine facial lines
Yes No	Yes No
k. Brighten shadowy areas & look more radiant	l. Conceal skin imperfections
Yes No	Yes No
m. Immediately improve the appearance and texture of my skin
Yes No

13. I am interested in learning more about:
a. Techniques for applying eye, cheek and lip colors	b. Products that promote anti-aging benefits
Yes No	Yes No
c. Fragrances and Body Care	d. Products for teenagers
Yes No	Yes No
e. Mens products	f. Color Analysis for my wardrobe
Yes No	Yes No
g. Owning a Designer Handbag	i. Teleclasses on:
Yes No	Self esteem Health Self improvement Image

For a more accurate assessment, please Attach Photo:

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Cosmetics & Skin Care Assessment

My Cosmetics & Skin Care Assessment

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