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Tvishi's Hair Analysis form
Please fill in the below details to help us understand your Hair type, texture & nature better
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* Indicates required question
Full Name
*
Your answer
Referred by
*
Your answer
Email ID
Your answer
Age
*
Your answer
Contact number
Your answer
What is the nature of Hair scalp
*
Dry Scalp
Oily Scalp
Normal
Sometimes dry, sometimes oily
Required
Is your hair texture?
Rough, Dry & Strong
Smooth, Weak & Thin
Not dry & Normal, Healthy
Clear selection
Any specific Hair issues to address
*
Hair fall
Dry & frizzy + Hair fall
Weak Hair with split ends
No specific issue - Interested to maintain Hair health
Other:
Required
Hormonal Issues
Yes
No
Other:
Clear selection
Any specific allergies
Your answer
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