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Hair Consultation
by Claire Lukyn
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Full Name * *
Email Address *
What is your phone #? * *
Please upload a photo of your hair, this isn't required but this helps me get a better understanding of your hair needs.
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What is your phone #? * *
What is your gender?
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What Shampoo/ Conditioner are you currently using?Your answer. *
What is your hair type? * *
What is your hair texture? *
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What Day does your hair get oily? *
On average how often do you wash your hair? * *
What is your primary hair concern? * *
Please check all that apply * *
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Do you use hot tools? If So how often * *
Do you have hair Exstensions if so what kind? * *
Is your hair frizzy? * *
Is balding or thinning hair a concern? Check all that apply *
Are you intersted in our skin care?
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What is your skin type? Check all that apply. *
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Which would you be interested in hearing more about in the future? Check all that apply *
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Did Someone refer you besides myself? If so please write their name so they get a $20 credit and you get a $20 credit as well on your next order.
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