JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Hair consultation
We are the #1 hair care brand in North America offering naturally based products that grow and anchor the hair. 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!
NO SILICONES! NO SULFATES! NO PARABENS! NO HARSH CHEMICALS! NO HARMFUL FRAGRANCES! GLUTEN FREE! 100% VEGAN! LEAPING BUNNY CERTIFIED! NATIONAL HAIR LOSS ASSOCIATION APPROVED!
Answer the questions below so we can get you on a hair treatment system specific to your wants and needs.
Let's get started!
* Required
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Full name/ Nombre completo
*
Your answer
Phone number/ Número de telephone
*
Your answer
Are you pregnant/ está embarazada
Yes / Si
No
Clear selection
Whats your type of hair? / qué tipo de pelo tiene
*
Curly / Chino
Wavy/ Quebrado
Straight/ Lazio
Is your hair
*
Thin /Delgado
Thick /grueso
Please describes the history of your hair .( for ex. was your hair always thin or thick ) Por favor de compartir su historia de su pelo (por ejemplo si su pelo fue grueso todo el tiempo y se hizo delgado)
Your answer
what products do you use to wash your hair? / qué productos se usa para lavarse el pelo?
Your answer
How often do you wash your hair? / Cuántas veces se lava el pelo semanal ?
*
Your answer
Is your scalp / Cómo es cuero cabelludo?
*
Oily- typically / grasoso
Dry- flaky or itchy /seco
Normal
Other:
What do you use to style your hair? / qué usas para peinar tu pelo?
Your answer
How often do you dye your hair ?/ Qué seguido te pintas el pelo?
Your answer
How often do you style your hair using heat? (iron,blow dry,curling wand,etc.)/cuantas veces a la semana aplicas cosas calientes al pelo?
*
1-2 times a week / 1-2 veces a la semana
3 - 4 times a week / 3 -4 veces a la semana
Every day /Todos los días
Not often / no seguido
Dead/split ends? / puntas muertas o con frizz
*
Your answer
Any issues concerning your hair you would like to address? / cuál es tu mayor preocupación de tu pelo?
Your answer
Would you be Interested in ? / Está interesado/a en
*
purchasing product/ comprar productos
Would you like to learn about the business/ interesada en hacer el negocio
both / Los dos
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
Forms
