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HAIR ANALYSIS
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* Indicates required question
NAME
*
Your answer
EMAIL
*
Your answer
PHONE NUMBER
Your answer
HAIR TYPE:
*
Thin
1
2
3
4
5
Thick
STRAIGHT or WAVY or CURLY?
*
Straight
Wavy
Curly
DRY or OILY SCALP?
*
Dry
Oily
IS FRIZZ AN ISSUE?
*
Yes
No
HOW OFTEN DO YOU WASH YOUR HAIR?
*
Your answer
WHAT’S YOUR BIGGEST CONCERN?
*
Oily
Dandruff
Chemical Burns
Other:
Required
WHAT DO YOU DESIRE THE MOST?
*
Volume
Hair Growth
Natural Shine
Other:
Required
HOW DO YOU STYLE YOUR HAIR (products / routine)?
*
Your answer
SENSITIVE SCALP:
*
Not sensitive
1
2
3
4
5
Very sensitive
PLEASE EXPLAIN ANYTHING ELSE THAT AFFECTS YOUR SCALP (routines / chemicals / etc.):
Your answer
STYLING PRODUCTS YOU CURRENTLY USE:
*
Gel
Hairspray
Leave-in
N/A
Other:
Required
I'M INTERESTED IN:
Buying the products
Selling the products
Both
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