Bonnie Maxey Beauty Consultant

Utimate Beauty Care

Improve your skins texture and tone with our fabulous line of Moisture Products. Your skin will Thank You.

Facial Masks for Extra Care

Give yourself the spa treatment at home with our soothing masks. Relax and unwind.

Body Care for Beautiful Skin

Smooth and refresh your body with our complete line of Body Care Products to gently cleanse and soften your body. Regain the soft supple skin of your youth and enjoy the aromatherepy of these soothing products. Experience the serenity of our bath and shower gel, body oil and body lotion.

Solve Problem Areas, Special Solutions

Take Back Time, with our Firming Moisture Cream with Elastin and collagen boosters to firm your skin. Alpha Hydroxy Complex to gently exfoliate dead cells, minimize appearance of wrinkles and improve elasticity. Clear Blemish Treatment to gently banish blemishes without irritating your skin.

Complete at Home Spa for Babies

Pamper your baby with our new Baby Massage Cream, Baby Bath Body Oil, Baby Hair and Body Wash, and Baby Powder.

Fabulous Make-up

Foundations for all skin tones, eyeshawdows, blushes, lipsticks and mascara to help bring out you own inner beauty.

Cleansers and Toners

Get your face squeeky clean and fresh with our Purifying Gel or foaming Cleansers for all skin conditions and finish off with a Stimulating Tonic Spritzer.

Elasticity Recovery

Bring your youth back by improving your skin's elasticty by 30% in only three weeks! The Elasticity Recovery will also prevent future loss. You stay looking younger!

Bonnie Maxey Beauty and Skin Care Consultant


Fill out our Skin Care Analysis Questionnaire to receive information
on which products would best help you with your skin care solutions.

Full Name     Email  

Address       

Phone      City     State     Zip Code  

1: Natural Hair Color
Blonde Brown Black Red Gray White
2: What Color are Your Eyes?
Blue Brown Black Green Gray Hazel
3: What is Your Skin Tone?
Fair Medium Olive Dark Asian Brown/Black
4: How often do you use tanning beds or spend time sunbathing?
Occasionally Rarely Never
5: Do you use sunscreen every day?
Yes No
6: What number SPF Sunscreen do you normally use?

8 15 30 35+ Rarely Use it Never Use it

7: How many hours per day do you spend outside in the sun?

8: Do you have any skin discolorations you are concerned about?
Yes No
9: Do you have rough dry elbows or knees?
Yes No
10: If you smoke, how many per day.

11: Which of these describe your skin best?

shiny all over no dryness
Oily and dry in some places or low moisture.
Oily in places, no dryness
No Oiliness, no dryness
Low oiliness extreem dryness or very low moisture
Sensitive to everything you use

12: Your Age Group?
under 19 20-24 25-30 31-39 40-49 51-59 60+
13: Are you using a daily skin care routine now?
Yes No
14: Please describe your daily routine.

15: Do you have acne?
Yes No
16: Does your face feel oily even after cleansing?

Occasionally Rarely Never

17: Does your face feel more oily in the summer or winter?
No Difference Winter Summer
18: Does your face feel tight and dry even after moisturizing?

Occasionally Rarely Never

19: Do you seem to break out more during stressful times?
Yes No
20: Do you have dark circles under your eyes?
Occassionally Yes No
21: Do you have eye puffiness?
No Occassionally Frequently
22: Do you have lines or wrinkles on your face?
Yes No
23: Where are your lines and wrinkles on your face?

24: Is your skin sensitive to any fragrances or cosmetics?
Yes No
25: If yes, which ones?

26: Do you have dry skin patches on your face or body?
Yes No
27: If yes, where on your face and body do you have dry skin patches?

28: What skin care products are you currently using?

29: How long have you been using these products?

30: Has your skin...?
Improved Stayed about the same Got worse
31: Do you have small, red, broken blood vessels on your face?
Yes No Occassionally
32: Please list any medications or prescriptions you are currently using.

33: Are you Pregnant?
Yes No
34: Are you taking oral contraceptives?
Yes No
35: Would you be interested in Hearing more about Career Opportunities?
Yes No
36: Please tell us anything else you feel will help us to determine your skin care needs.

Copyright © 2001 Skin Care Analysis Form by Tracie Johansen