2. Which type best describes your skin:

	Normal: Not too oily or dry, few blemishes, skin is firm and generally smooth with small pores.
	Normal to Dry: Normal – Not too oily or dry, few blemishes, skin is firm and generally smooth with small pores. Dry – Due to sun and age, skin may lack natural oils. May look smooth with fine pores, few blackheads and belemishes. May show rough, flaky patches of dryness.
	Normal to Oily: Normal - Not too oily or dry, few blemishes, skin is firm and generally smooth with small pores. Oily – Shiny and course, may have recurring blackheads and enlarged pores, often youthful-looking.
	Combination: Oily T-zone (forehead, nose and chin). Normal to dry around cheeks and throat. Can be oily along chin, jaw, templates and dry elsewhere. May show rough flaky patches of dryness.
	Blemishes: Generally oily. Blackheads and pimples. Potential scarring and pitting.
	Sensitive: Extremely delicate. Broken capillaries, veins and vessels beneath skin surface. Should not be over stimulated.
	Mature: Fine lines. Loose, "crepe-like" appearance. Loss of elasticity. Complexion may look "tired" and lackluster.

 3. I have the following skin care goals:

4. Areas of Interest (check all that apply):

	Basic Facial Skin Care		Makeup
	Anti Aging for Face		Weight Loss
	Detox		Vitamins
	Men's Facial Skin Care		Teen Products
	Acne Treatment		Aromatherapy
	Sun Protection		Spa Products
	Baby Care		Cellulite Treatment
	Hormone Balancing Cream		Holiday Gift Giving
	Earning Extra Money Every Month		Building a Home Based Business and Driving a White Mercedes-Benz

5. We are looking for people who may be interested in having their own Arbonne business.  This may be a fit in your life if the following interests you: more free time, supplemental income, unlimited income potential, flexibility, spending time with family, helping other people, being debt-free, retirement savings, owning your dream home, vacation and travel. 

Would you be open to taking a look at some information about having a home based business that you could work part time or full time and make an extra $300, $1,500, $5,000 or high a month?

Yes

No

Maybe

6. If you were given a FREE skin care sample, would you use it exclusively for a 3 day period and give us your opinion? 

Yes

No

7. If you try a sample and fall in love with it, would you be interested in a 35% discount on your products? 

Yes

No

8. Are you 18 years old or older? 

Yes

No

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