Section 1 of 1
The hair you want
We are bringing you the best of both nature and science that together creates the first and only anti-aging, clinically tested hair care line in the world. We are the #1 hair care brand in North America offering naturally based products that grow and anchor the hair. The Abyssinian oil penetrates the cortex of your hair and heals it from the inside out. Reversing your hair and scalp to it's healthiest state, gives 88% more manageability, and cuts your drying time in half. AKA LIQUID GOLD!
Yes! We use safe, clinically tested ingredients.
Yes! We use safe colorants.
Yes! We use safe fragrances.
Yes! We are vegan and animal friendly.
Yes! We are leaping bunny certified.
Yes! We are gluten-free.
Answer the questions below so we can hook you up with the hair treatment system that fits all of your wants + needs!
Let's get started!
CLICK THE LINK BELOW TO VIEW SOME OF OUR PERSONAL TESTIMONIES ↴
http://photos.app.goo.gl/q1jc5jx7jSBU9raW7
Yes! We use safe, clinically tested ingredients.
Yes! We use safe colorants.
Yes! We use safe fragrances.
Yes! We are vegan and animal friendly.
Yes! We are leaping bunny certified.
Yes! We are gluten-free.
Answer the questions below so we can hook you up with the hair treatment system that fits all of your wants + needs!
Let's get started!
CLICK THE LINK BELOW TO VIEW SOME OF OUR PERSONAL TESTIMONIES ↴
http://photos.app.goo.gl/q1jc5jx7jSBU9raW7
Email
This form is collecting emails.Change settings
1. Is your hair:
1. Is your hair:
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
Multiple choice grid
Checkbox grid
Date
Time
Thin
In beten
Thick
Other:
Add option
…
Answer key
(0 points)
Loading...
2. Is your hair: (select all that apply)
2. Is your hair: (select all that apply)
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
Multiple choice grid
Checkbox grid
Date
Time
Colored
Thinning
Chemically damaged
None
Add option
or
add "Other"
…
Answer key
(0 points)
Loading...
3. Is your hair:
3. Is your hair:
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
Multiple choice grid
Checkbox grid
Date
Time
Loading image…
Straight
Wavy
Curly
Coily
Kinky
Add option
or
add "Other"
…
Answer key
(0 points)
Loading...
4. Is your scalp:
4. Is your scalp:
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
Multiple choice grid
Checkbox grid
Date
Time
Oily
Dry
Normal
Add option
or
add "Other"
…
Answer key
(0 points)
Loading...
5. If your Scalp is oily- how often do you wash due to oil?
5. If your Scalp is oily- how often do you wash due to oil?
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
Multiple choice grid
Checkbox grid
Date
Time
Everyday
Every other day
twice a week
Once a week
This dose not apply to me
Add option
or
add "Other"
…
Answer key
(0 points)
Loading...
6. Is dandruff an issue?
6. Is dandruff an issue?
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
Multiple choice grid
Checkbox grid
Date
Time
Yes
No
Sometimes
Add option
or
add "Other"
…
Answer key
(0 points)
Loading...
7. Is your hair texture:
7. Is your hair texture:
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
Multiple choice grid
Checkbox grid
Date
Time
Frizzy
Dry
Both
Add option
or
add "Other"
…
Answer key
(0 points)
Loading...
8. How often do you blow dry your hair?
8. How often do you blow dry your hair?
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
Multiple choice grid
Checkbox grid
Date
Time
Answer key
(0 points)
Loading...
9. How often do you air dry your hair?
9. How often do you air dry your hair?
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
Multiple choice grid
Checkbox grid
Date
Time
Answer key
(0 points)
Loading...
10. How do you style your hair?
10. How do you style your hair?
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
Multiple choice grid
Checkbox grid
Date
Time
Answer key
(0 points)
Loading...
11. What would you like us to fix and/or change about your hair?
11. What would you like us to fix and/or change about your hair?
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
Multiple choice grid
Checkbox grid
Date
Time
Answer key
(0 points)
Loading...
12. Are you interested in...(select all that apply)
12. Are you interested in...(select all that apply)
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
Multiple choice grid
Checkbox grid
Date
Time
Pet shampoo + deodorizer
Children's shampoo + conditioner
Not at this time, just me for now!
Add option
or
add "Other"
…
Answer key
(0 points)
Loading...
13. How much are you willing to spend to help your concerns?
13. How much are you willing to spend to help your concerns?
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
Multiple choice grid
Checkbox grid
Date
Time
Answer key
(0 points)
Loading...
14. Who referred you?
14. Who referred you?
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
Multiple choice grid
Checkbox grid
Date
Time
Answer key
(0 points)
Loading...
15. What is your Instagram handle and/or phone number?
15. What is your Instagram handle and/or phone number?
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
Multiple choice grid
Checkbox grid
Date
Time
Answer key
(0 points)
Loading...
16. Birthdate?
16. Birthdate?
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
Multiple choice grid
Checkbox grid
Date
Time
Answer key
(0 points)
Loading...
17. Email address?
17. Email address?
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
Multiple choice grid
Checkbox grid
Date
Time
Answer key
(0 points)
Loading...
18. First and Last name:
18. First and Last name:
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
Multiple choice grid
Checkbox grid
Date
Time
Answer key
(0 points)
Loading...
Link to Sheets
Summary
Question
Individual
Insights
Total points distribution
Loading...
Settings
Responses
Manage how responses are collected and protected
Presentation
Manage how the form and responses are presented
Defaults
Form defaults
Settings applied to this form and new forms
Question defaults
Settings applied to all new questions