Request edit access
Hair Consultation
With the highest global standards, painted the ingredients and technology, midnight is revolutionising the haircare industry. We are hundred percent vegan, leaping bunny certified and free of silicones, sulphates, parabens, harsh chemicals and harmful fragrances. Our hair care reduces press, repairs damage, stimulate growth, increase volume, shine and improves overall manageability of hair.

Haircare regimes are completely customisable, so we can target all areas of concern.

Please take a moment to fill out this questionnaire, as it will allow me to determine which products are going to be perfect fit for your hair needs.
Sign in to Google to save your progress. Learn more
Please provide your email here
Are your roots oily or dry?
Clear selection
How often do you need to wash your hair? (In term of roots getting oily)
Clear selection
Do you use dry shampoo?
Clear selection
Do your strands have damage?
Clear selection
If you answered Yes to damage, what is it caused by
Clear selection
Is your hair thick or thin?
Clear selection
Are you experiencing hair loss?
Clear selection
If yes, what has caused the hair loss? (Stress, postpartum, alopecia, medication, medical conditions, age related)
What areas of concern do you have with your strands?
Do you use heat to style your hair?
Clear selection
First Name
Last Name
IG Handle
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms