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18
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1
Name
*
This field is required.
I can't wait to meet you!
First Name
Last Name
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2
E-mail
example@example.com
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3
Instagram Handle
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4
Phone Number
*
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Area Code
Phone Number
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5
When is your birthday?
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6
What is your gender?
Female
Male
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7
What is your hair density?
Thick
Thin
In between
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8
What is your hair type?
Straight
Wavy
Curly
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9
Is your hair color treated?
Yes
No
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10
Is your scalp...
Oily
Dry
Normal
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11
Is dandruff an issue?
Yes
No
Sometimes
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12
What is your hair texture?
Frizzy
Dry
Both
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13
How often do you wash your hair?
Daily
Every 1-2 days
3+ days
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14
How often do you use heat tools?
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15
How do you dry your hair?
Air dry
Blow dry
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16
What is your biggest hair concern/issue you'd like to address?
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17
Are you interested in a detailed explanation of what products we would use for your hair concerns and how we can fix them?
Yes text me
Yes DM me
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18
I'm interested in....
Transforming my hair
Becoming my own boss
Both
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