At Mary Kay, we take the time to understand what you want in a skin care program. Then, we build a program that works for you - your lifestyle and your needs. Want to know more? Just answer the questions below.
1. Have you ever tried Mary Kay product(s)?        Yes          No
If so, when?     Are you currently using any Mary Kay product(s)?        Yes          No If so, what product(s)?     What other product(s)/brand(s) are you using that you are loyal to?
2. What would you like to change about your skin?
3. My current skin care program consists of: Cleanser Mask Freshener Moisturizer Foundation Soap and water I use it all What's a skin care program?
What brand(s)/product(s) are you currently using?
4. Check the one statement that best describes your skin type: "Dry, dry, dry - cheeks, forehead - all dry. I'll take all the moisture I can get." "It's pretty normal, except for some oiliness on my forehead and nose and/or some dryness "I guess I'm lucky. My skin is normal - never too dry or too oily "My skin is so oily that by noon, I need a powder touch-up to help control the shine."
5. My skin tone is: Ivory (Fair)     Beige (Medium)     Bronze (Dark)
6. For foundation coverage, I prefer: Full Coverage     Medium Coverage     Sheer
7. I would like product that: Remove eye makeup gently Minimize the apperance of fine lines Reduce eye-are puffiness Help clear and prevent blemishes Moisturize delicate eye area Control Oil throughout the day Smooth dry lips Even skin tone and minimize fine facial lines Keep lip colour from feathering and bleeding Calm skin that feels distressed and/or uncomfortable
first name
last name
email address
birthday	month January February March April May June July August September October November December   day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
telephone (home)
telephone (work)
telephone (cell)
street
city
province	please choose one... Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Northwest Territories Nova Scotia Nunavut Ontario PEI Quebec Saskatchewan The Yukon
postal code
How would you like to be contacted?    Phone     Email     Postal Mail
What is the best time to reach you?     AM     PM     at work
How often would you like to be contacted?
Monthly     Every Other Month     Every 3 Months     New Product Introduction