ONLINE COLOR ANALYSIS QUESTIONAIRE

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INSTRUCTIONS:

Thank you for ordering your Professional Color Analysis! Let's begin your questionnaire. Remember, the more honest you are, the more accurate your analysis will be.

Color Analysis Questionaire

Please note that all fields followed by an asterisk must be filled in.

First Name*
First Name*

Last Name*
Last Name*

E-mail Address*
E-mail Address*

Street Address*
Street Address*

City*
City*

State/Prov*
State/Prov*

Zip/Postal Code*
Zip/Postal Code*

Country*
Country*

Home Phone*
Home Phone*

Business Phone

Fax

Which best describes your Skin tone?*
Which best describes your Skin tone?*

What is your Skin depth?*
What is your Skin depth?*

Do you have Freckles on your face?*
Do you have Freckles on your face?*

Do you have Freckles on your arm?*
Do you have Freckles on your arm?*

If you tan, what color does your skin turn?*
If you tan, what color does your skin turn?*

What color are your Eyes?*
What color are your Eyes?*

Describe the intensity of your eye color *
Describe the intensity of your eye color *

Describe the whites of your eyes*
Describe the whites of your eyes*

What was the color of your hair when you were little (3 to 5 years old)?*
What was the color of your hair when you were little (3 to 5 years old)?*

What was the natural color of your hair in your Twenties?*
What was the natural color of your hair in your Twenties?*

What is your natural haircolor now?*
What is your natural haircolor now?*

If you color your hair now, what is the name of the color? *
If you color your hair now, what is the name of the color? *

What is your Ethnicity (caucasion, etc.)?

What is your Age?*
What is your Age?*

What types of colors do you think you look best in? Check more than one if needed.*
What types of colors do you think you look best in? Check more than one if needed.*

	Light Colors
	Medium Colors
	Dark Colors
	Bright Colors
	Soft (dusty/dull)Colors
	Rich Colors
	Cool (Blue based) Colors
	Warm (Yellow-Gold based) Colors

Please enter the word that you see below.