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Hair Questionnaire
Take the questionnaire to get your personalized hair routine
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* Indicates required question
First Name
*
Your answer
Last Name
*
Your answer
Phone Number
*
Your answer
Email
*
Your answer
Gender
*
Female
Male
Prefer not to say
What Is Your Current Hair Length?
*
Pixie
Short
Shoulder
Long
Very Long
What Is Your Hair Type?
*
Straight
Wavy
Curly
Coily
What Is Your Hair Texture?
*
Fine
Medium
Thick
Is Your Hair Chemically Treated?
*
Yes
No
On Average, How Often Do You Shampoo Your Hair?
*
Daily
Every Other Day
Twice A Week
Once A Week
What Is Your Main Hair Concern? Please Describe.
*
Your answer
What Is Your Secondary Hair Concern? Please Describe
*
Your answer
What Are Your Hair Goals? Please Describe
*
Your answer
Do You Have A Dry Or Sensitive Scalp? Please Describe
*
Your answer
Does Your Hair Get Weighed Down By Hair Products?
*
Yes
No
How Do You Style Your Hair?
*
Wash & Go
Blow Dry or Diffuse
Blow Dry, Flat Iron, Curling Iron, Hot Rollers
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