Skin Care Survey
for Consultation/Catalog

 This form is available in
downloadable Microsoft Word format,
with 4 forms laid out on an 8.5" x 11
sheet of paper.  Print it out and cut it up.]

ARBONNE SKIN CARE SURVEY

Thank you for taking the time and to complete our survey!
(Please circle your answer)

1.  Are you currently using a skin care program?   Yes   No

2.  If yes, are you happy with the results?  Yes  No

3.  What kind of skin do you have?  Normal/Dry    Normal/Oily

4.  Have you ever tried Arbonne’s herbal/botanical pure Swiss skin
     care program?   Yes     No

5.  If we gave you a FREE skin care consultation, would you give us
     your opinion of our products?  Yes   No

6.  Would you like to receive a FREE Arbonne Product Catalog?
            Yes    No

NAME:  _______________________________________________

ADDRESS:    ___________________________________________

PHONE:   ______________________________________________

Areas of interest:
Skin Care  _____  Anti-Aging  _____
Color _____  Body Care ______
Sun Protection _____ Weight Management ______
Nutritionals ______ Hormone Balance ______
Earning an extra $200 to $500 per month ________
Joining an educational team for women’s health ______
Building a home based business and driving a white Mercedes _____