Makeup Consultation Form

Name ______________________________________________ Date _________

Address ____________________________________ Occupation __________________________________
Phone # _______________________________
SKIN TYPE:
Dry
Normal
Combination
Oily
SKIN TONE:
Porcelain (C)
Fair (N)
Light (W)
Tan (N)
Olive (N)
Caramel (W)
Light Brown (W)
Deep (N)
Ebony (C)
FACE SHAPE:
Oval
Round
Oblong
Pear
viabeauty23@gmail.com

Email ____________________________________
Square
Heart
Diamond
EYE SHAPE:
Deep Set
Drooping
Almond
Wide Set
Close Set
Small
Bulging
Hooded
EYE COLOR:
Blue
Brown
Black
Green
Hazel
Other ____________

(630)430-8626

@viabeautymua

QUESTIONS:
How much time do you have for makeup applicatiom? ____________________________________
How often do you wear makeup? ______________________________
Do you have color preferences? Bold? Colorful? Natural? ________________________________________
Do you have any allergies? _________ If yes, what? ____________________________
Do you have any skin conditions/ diseases? _________ If yes, what? ___________________________
Circle any that apply:
Drink Caffine
Drink Water
Wear Sunscreen
Drink Alcohol
Take Medication
Wash Skin Daily
Acne
Stress
Pregnancy
Other ___________________
Can I use any photos/ videos taken for a portfolio or social media accounts? ____ Yes ____ No

Signature _____________________________________________________ Date ____________

viabeauty23@gmail.com

(630)430-8626

@viabeautymua