My Color Analysis for Wardrobe
Assessment

Provided by - Audessa Siccardi

760-415-5510

*To receive your initial assessment by email, please complete everything on this form.
If you have purchased a 'Web Color Analysis' or 'Personal Color Analysis', you will receive the following:
* A complete and comprehensive Color Analysis * Your personal Wardrobe Color Guide * A consultation with a Color Expert.
Have fun!
Name:
 Email:
Day Phone:
 Evening Phone:
Best Time to Call:
 City: State: Zip:
Website:
 Occupation:
Age Range:
1. My eye color can best be described as:
 2. I have some gold color or gold flecks in my eyes:
3. My current hair color is:
 4. The color of my highlights is:
 
5. My natural hair color is:
 6. My skin tone is:
     
7. Check one:
     		 8. Some people think my skin is:
       
9. As far as I know, my heritage, background, or race is:

 10.
a. My favorite colors are:

b. People Say I look good in:

c. I do not look great in:
11. My personality is:
 
~ or ~
 		 12. Things I can improve in my life: (check all that apply)
 
   
   
   
13. I would like to receive free monthly e-news on "Style & Image.":
   		 14. I would
like to receive free monthly e-news on "Beauty”:    

For an $85 Personal Assessment:
1. attach photo: 2. send assessment:  
 
   
3. click “buy now” to pay $85.00 by PayPal:
Thank You! I will be contacting you soon. ~ Audessa