HAIR QUIZ
EMAIL ADDRESS* *
NAME & INSTAGRAM *
PHONE NUMBER *
BIRTHDATE *
MM
/
DD
/
YYYY
HOW OFTEN DO YOU WASH YOUR HAIR? *
WHATS YOUR HAIR TYPE? *
IS YOUR HAIR CHEMICALLY TREATED? *
HOW DENSE IS YOUR HAIR? *
THIN
THICK
IS YOUR SCALP *
AFTER WASHING, DO YOU: *
WHAT IS YOUR HAIR LENGTH? *
HOW OFTEN DO YOU APPLY HEAT TOOLS? *
WHAT PRODUCTS DO YOU USE TO STYLE YOUR HAIR? *
DO YOU HAVE ANY ALLERGIES? *
WHAT MAIN CONCERNS DO YOU HAVE ABOUT YOUR HAIR?
(CHECK ALL THAT APPLY) *
Required
WHAT IMPROVEMENTS ARE YOU LOOKING FOR IN YOUR HAIR?(CHECK ALL THAT APPLY) *
Required
ARE YOU INTERESTED IN LEARNING ABOUT OUR LIQUID GOLD ? *
REJUVENIQE OIL
IM INTERESTED IN: *
BEST WAY TO CONTACT YOU TO DISCUSS YOUR TEST RESULTS: *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms