LOA Client Profile - Look of Attraction

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(901)218-5183

Asset 23-8

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THANK YOU FOR BOOKING!

Please complete your client profile.

LOA Client Profile

LOA Client Consultation & Profile

If this is your first time booking with us online please complete this form.

Have you previously completed a profile form with LOA?

Yes No

Name *

First

Last

General Information

Name *

First

Last

Address Field

Address Line 1 *

Address Line 2

City *

State *

Zip Code *

Phone

Email Address

How did you hear about us?

SKIN CARE HISTORY

Select the products that you currently use (check all that apply)

Body Lotion Cleansing Cream Eye Cream Facial Scrub Night Cream

Body Soap Day Cream Exfoliants Hand Cream Skin Toner/ Astringent

Body Scrub Eye Makeup Remover Facial Soap Neck Cream Other

What is your skin type? *

Normal Dry Oily Combination Unsure

What is your skin complexion? *

Fair Complexion (non-melanin) Light Complexion Medium Complexion Deep Complexion

What is your skin's undertone? *

Cool Warm Neutral Unsure

What concerns do you have about your skin? (check all that apply)

Acne/Breakouts Broken Capillaries Dark Spots Excessive Oil/Shine Rosacea Sun Damage Unwanted Hair

Blackheads/Whiteheads Clogged Pores Dryness Redness Scarring Uneven Skin Tone Wrinkles/Fine Lines

Health History

Do you have any allergies? *

Yes No

If yes, please list: *

Do you have any medical conditions? *

Yes No

If yes, please list: *

Are you currently taking any medications? *

Yes No

If yes, please list: *

Desired Makeup Look

Section Break

Some description about this section

What occassion is this look for?

Is there any specific colors or technique you would like to include?

Makeup Coverage

Favorite Type of Foundation

Favorite Makeup Look

Final Step

Where Beauty Beholds

Book Appointment

Service Area

Memphis & Mid-South Area

Email Us

mylook@lookofattraction.com

Phone

(901) 218-5183

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