Client Profile
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Complimentary Skin Care / Health Consultation Client Profile Name: _______________________________ Date: ___________________ Address: _____________________________ Host: _____________________ City: ________________________ State: ______ Zip: _________________ Best number to reach you: ___________ Best time to call: ________________ Email: ______________________________________________________ Birthday: ______________________ Anniversary: _____________________ Spouse Name: ___________________ SKIN TYPE (circle): Dry Normal Combination Oily Acne Sensitive My Concerns are (circle all that apply) * Sensitive skin *PMS *Loss of sex drive *Dry patches *Sleep disturbances *Mood swings, irritability *Occasional blemishes *Hot flashes *Suffer from anxiety *Dark under eye circle *Lack of concentration *Fatigue, loss of energy *Oily in T-zone area *Depression *Currently dieting *Sun damage *Get enough fiber *Take vitamins, antioxidants *Blackheads / white heads *Any known heart disease *Fine lines & wrinkles *Other ________________ What products are you currently using on your skin? _____________________________________ If you had a magic wand, what would you change about your skin or health? ______________________________________________________________________________________ My involvement level with Arbonne at this time is: 1 - I am only interested in product at this time. 2 – I am interested in product, and I would like to look over some more information. 3 – I am interested in product, and I am definitely interested in learning how to get MY business started with Arbonne! I am Interested In (circle all that apply): *Business Opportunity-35% commission plus overrides *Hosting a Class – Save 80% on your products *One-on-One Consultation *Skin Care *Cosmetics *Nutrition *Weight Loss *Hormone Balancing * Gifts *AutoShip-earn free products w/ your monthly order *More information on _______________________ Consultant Notes Foundation Color ____ Other make-up preferences and colors:
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Transcript of Client Profile
Complimentary Skin Care / Health Consultation Client ProfileName: _______________________________ Date: ___________________Address: _____________________________ Host: _____________________City: ________________________ State: ______ Zip: _________________Best number to reach you: ___________ Best time to call: ________________ Email: ______________________________________________________Birthday: ______________________ Anniversary: _____________________Spouse Name: ___________________ SKIN TYPE (circle): Dry Normal Combination Oily Acne SensitiveMy Concerns are (circle all that apply)* Sensitive skin *PMS *Loss of sex drive*Dry patches *Sleep disturbances *Mood swings, irritability*Occasional blemishes *Hot flashes *Suffer from anxiety*Dark under eye circle *Lack of concentration *Fatigue, loss of energy*Oily in T-zone area *Depression *Currently dieting*Sun damage *Get enough fiber *Take vitamins, antioxidants*Blackheads / white heads *Any known heart disease *Fine lines & wrinkles *Other ________________What products are you currently using on your skin? _____________________________________If you had a magic wand, what would you change about your skin or health? ______________________________________________________________________________________My involvement level with Arbonne at this time is:1 - I am only interested in product at this time.
2 – I am interested in product, and I would like to look over some more information.
3 – I am interested in product, and I am definitely interested in learning how to get MY business started with Arbonne!
I am Interested In (circle all that apply):*Business Opportunity-35% commission plus overrides*Hosting a Class – Save 80% on your products*One-on-One Consultation*Skin Care*Cosmetics*Nutrition*Weight Loss*Hormone Balancing* Gifts*AutoShip-earn free products w/ your monthly order*More information on _______________________
Consultant Notes
Foundation Color ____Other make-up preferences and colors:
