Your Personal Skin Profile Analysis

When you Complete and Submit the following Personal Skin Profile, we will send you for the nominal cost of only $5.00, product samples that match your Skin Type and a single soothing Music CD.
We will keep your Profile Analysis on file.
All you have to do is mail $5.00 along with a Stamped Self Addressed Envelope to
AASC
5826 Stirling Road
Hollywood, FL 3302
1

Your samples and CD will be sent out immediately.

Featuring

 

E-Mail:
           

Name:
     Last First MI
Address
            
       CityStateZip
  Day Phone         Evening Phone

Have you used Sothys product before?
       
Yes
        No

What skin care products do you currently use?
       

When was your last professional facial?
       
Never One Month   Six Months   One Year   Other

Which Sothys product lines are you currently using or have used?
                                   (check all that apply)
       
Skin Care            Body Care            Eye Care
       Sun Care             Make-Up              None             

What is your age?            What type of skin do you have?
                                

When do you use (check all that apply)
       
A skin care Cleanser?
           Morning    Evening
        A skin care Lotion?
                     Morning    Evening          
        A facial Moisturizer?
           Morning    Evening
        A facial Sunscreen?
           Morning    Evening

   
How many times per week do you:
       
Use a facial scrub?        Use a Mask?
                           

How many times per month do you:
   
    Perform a Self-Facial?        Receive a Professional Facial?
                                       

Have you ever had microdermabrasion treatments?
                     
Yes        No

Have you ever had a professional body treatment?
                     
 Yes        No

What type? (check all that apply)
              
Massage             Mud Treatment
          Herbal Wrap       Body Scrub
                     Hydrotherapy      Cellulite Treatment
  Seaweed Wrap   Other

What body care products do you regularly use at home?
      
       Body Scrub         Non-soap Body Wash
        Body Spray         Moisturizing Lotion
        Slimming Cream

                           

                          
   Arlene Anna Skin Care Institute ~ Microderm Institute
5826 Stirling Road, Poinciana Plaza, Hollywood, Florida 33021
954.964.5099 

     
     

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