Mary Kay Foundation Customer Form

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1. Did you see an immediate improvement in your skin? YES ____ NO ______
2. On a scale of 1 to 5, with 5 being the best, did you experience improved softness of your skin?
1 2 3 4 5
3. On a scale of 1 to 5, with 5 being the best, did you experience improved smoothness of your skin?
1 2 3 4 5
4. On a scale of 1 to 5, with 5 being the best, did you notice your pores appearing smaller?
1 2 3 4 5
5. Are you currently using Mary Kay’s TimeWise skin care products?
YES _______ NO _______
Ready to
6. What is your skin type? Dry ____ Normal ____ Combination ____ Oily_____
7. What is your age range? 18-25 ____ 26-35 ____ 36-45 ____ 46-55 ____ 56+ ____
fight
8. Would you be interested in purchasing this product knowing that you would get
fine lines?
36 applications for $55? YES _____ NO_________
9. Would you be interested in hearing more about a part-time Mary Kay career?
YES, I would! _______
Maybe, let’s talk ________
No way ______
Name: ______________________________ Phone: _________________________
Cell phone: __________________________ Best Time to call : Day / Night
Address:___________________________________________________Zip ________
Email Address:_____________________________________________
Your Beauty Consultant:______________________________
1. Did you see an immediate improvement in your skin? YES ____ NO ______
2. On a scale of 1 to 5, with 5 being the best, did you experience improved softness of your skin?
1 2 3 4 5
3. On a scale of 1 to 5, with 5 being the best, did you experience improved smoothness of your skin?
1 2 3 4 5
4. On a scale of 1 to 5, with 5 being the best, did you notice your pores appearing smaller?
1 2 3 4 5
5. Are you currently using Mary Kay’s TimeWise skin care products?
Ready to
YES _______ NO _______
6. What is your skin type? Dry ____ Normal ____ Combination ____ Oily_____
fight
7. What is your age range? 18-25 ____ 26-35 ____ 36-45 ____ 46-55 ____ 56+ ____
fine lines?
8. Would you be interested in purchasing this product knowing that you would get
36 applications for $55? YES _____ NO_________
9. Would you be interested in hearing more about a part-time Mary Kay career?
YES, I would! _______
Maybe, let’s talk________
No way _______
Name: ______________________________ Phone: _________________________
Cell phone: __________________________ Best Time to call : Day / Night
Address:___________________________________________________Zip ________
Email Address:_____________________________________________
Your Beauty Consultant:______________________________

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