Name:
Address:
City:
State:
Zip Code:
Home Phone:
Work Phone:
Cell Phone:
Email:
Best time to reach you for feedback:
Age Group:
 18-24
 25-34
 35-49
 50+
Divorced
Marital Status:
 Single
 Married
 Widowed
Children/Ages:
Occupation:
Name of Mary Kay Beauty Consultant:
These are some of the reasons women have chosen to become Independent Mary
Kay Beauty Consultants.  Which would appeal to you?  Choose All that apply.
Unlimited earning potential
Recognition and rewards
Personal growth and self-improvement
Career car program
Advancement opportunities
Being your own boss
Company philosophy of "God first, family second, career third"
Flexible hours
Tax benefits
Positive circle of influence
Learning skin care and color techniques
Making a change in your life
Helping others feel more beautiful and discover their full potential
Wholesale buying privilege
More time at home with family
Thinking of your current job, do you ...
... consider it to be the career of a lifetime?
Yes
 No
... have flexibility in your schedule to take time off whenever you desire?
Yes
 No
... feel you are paid what you are worth?
Yes
 No
... have absolute control over your career (if you gave it your all for 5 years,
could you make a significant change in your financial situation)?
Yes  
 No
With the information you have about our Company, please check the one that best
describes you:
This sounds really good and I'm thinking it might be for me.
I'd love to hear more information.  Please contact me.
Sounds like a wonderful opportunity, and I know someone who would be great.
Thanks for sharing the information, but I would like to remain a loyal customer
and hostess at this time.
Comments:
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