Matis Face Treatment Diagnosis And Advice Form

Page 1

SKIN DIAGNOSIS

MATIS REPONSE IN BEAUTY SALON

MATIS REPONSE AT HOME

VISUAL AND TACTILE EXAMS

TREATMENT DONE

Fine lines

Freckles

Wrinkles

Pigmentation marks

Expression lines

Beauty spot

Crow’s feet

Scars

Slackening

Desquamations

Cutaneous

Thin skin

Double chin

Couperose

Thick skin

Erythema

Blackheads

Vitiligo

Open Pores

Bags

Acne

Dark circles

Pimples

Others :

PARTICULAR LIFESTYLE

Cleansing Treatments c Stress

c Diet

c Smoker

c Pregnancy

Face Print Skin Enhancers HABITS OF TREATMENTS

Shiny skin

COMPLEXION c Dull

c Lacklustre

c Mat

c Opalescent

c Asphyxiated

c Normal

c III

c V

Réponse Treatments TIPS FROM YOUR MATIS BEAUTICIAN

PHOTOTYPE c I

c II

c IV

Hydréclat Treatments

SKIN c Balance

c Dehydrate

c Dry

c Sensitive/Delicate

c Devitalized

c Mature

c Combination skin

c Oily

c Other

D pliant dia anglais.indd 2-4

SAMPLES OFFERED

28/07/06 11:23:02


TREATMENTS

DAILY CARE Face / Eyes Make-up Removal Eyes Product Sérum

APPOINTMENTS

DATE

BEAUTYCIAN

TREATMENT

COMMENT

Name : ............................................................. First name : ..................................................... Birthday : D /M Adress : ............................................................ ...............................................................………… City : ................................…………………………….. Zip code : LILILILILI - Tel : .........................…... E-mail : ............................................................

FACE TREATMENT DIAGNOSIS AND ADVICE

Day Cream Night Cream Cure

WEEKLY CARE Peeling Mask

Comments :

PROFESSIONAL SKIN CARE

D pliant dia anglais.indd 5-7

28/07/06 11:23:03


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