You can always press Enter⏎ to continue
Hey friend!
I am so excited for you to take a step towards healthier hair and skin! Let's get you started on this journey!
START
1
Meet Monat
We are the #1 hair care brand in North America and we are committed to bringing you the best of both nature and science.
These products are:
Anti-aging Vegan Clinically tested (and never tested on animals!) Designed to improve quality of hair, scalp, and skin Hair Loss Association Approved In our products, you will NEVER find silicones, sulfates, parabens, harsh chemicals, phthalates, plastic micro beads, or harmful fragrances/colors. Each person is unique and we believe your hair care system should be customized specifically for you. Take the following quiz so we can get you on a hair treatment system tailored to your wants and needs!
Are you ready to get started!?
Heck yes!
Let's do this!
Previous
Next
Submit
Press
Enter
2
What is your name?
*
This field is required.
First Name
Last Name
Previous
Next
Submit
Press
Enter
3
What is your birthdate?
*
This field is required.
We send you a free gift on your birthday!
-
Date
Year
Month
Day
Previous
Next
Submit
Press
Enter
4
Phone Number
*
This field is required.
Area Code
Phone Number
Previous
Next
Submit
Press
Enter
5
Email
*
This field is required.
example@example.com
Previous
Next
Submit
Press
Enter
6
What is your Instagram handle?
example: @alainayard
Previous
Next
Submit
Press
Enter
7
Great! Now, What is your hair type?
*
This field is required.
Straight
Wavy
Curly
Coiled
Previous
Next
Submit
Press
Enter
8
What is your hair texture?
*
This field is required.
Thin/Fine
Medium
Thick
Coarse
Previous
Next
Submit
Press
Enter
9
What is your hair density?
*
This field is required.
Very Thin
Somewhat Thin
Neither Thin nor Thick
Somewhat Thick
Very Thick
Previous
Next
Submit
Press
Enter
10
Is your hair color treated?
*
This field is required.
Yes
No
Previous
Next
Submit
Press
Enter
11
Is your scalp:
*
This field is required.
Oily
Dry
Normal
Previous
Next
Submit
Press
Enter
12
How oily does your scalp get within two days of washing?
*
This field is required.
Not Oily
Somewhat Oily
Very Oily
Previous
Next
Submit
Press
Enter
13
How often do you wash?
Every day
Every other day
Every 3-4 days
Once a week
Previous
Next
Submit
Press
Enter
14
Is dandruff or flakiness an issue?
*
This field is required.
Yes
No
Somewhat
Previous
Next
Submit
Press
Enter
15
“My hair is...”
*
This field is required.
Select ALL that apply
Dry
Limp
Frizzy
Brittle (breaks easy)
Damaged from heat
Thinning
Receding (receding hairline)
Damaged at the ends (split ends)
Chemically over-processed
None of the above
Other
Previous
Next
Submit
Press
Enter
16
How often do you apply heat?
*
This field is required.
Never
Once in a while
2-3 times a week
Daily
Previous
Next
Submit
Press
Enter
17
How do you prefer to style your hair?
*
This field is required.
Air-dried and styled
Blow-dried and styled
Only air-dried
Only blow-dried
Previous
Next
Submit
Press
Enter
18
What products do you use to style your hair?
*
This field is required.
Previous
Next
Submit
Press
Enter
19
What is your biggest concern?
*
This field is required.
Previous
Next
Submit
Press
Enter
20
What are your ultimate hair goals?
*
This field is required.
Previous
Next
Submit
Press
Enter
21
Are you looking to grow your eyelashes or eyebrows?
*
This field is required.
YES
NO
Previous
Next
Submit
Press
Enter
22
Would you like to learn about our Holy Grail, the Rejuvenique Oil?
*
This field is required.
YES
NO
Previous
Next
Submit
Press
Enter
23
What are you interested in?
*
This field is required.
Purchasing the products
Earning an extra income (+30% off!)
Previous
Next
Submit
Press
Enter
24
Are you interested in our other beauty lines?
*
This field is required.
Skincare
Pet line
Neither for now
Junior Line
Men's Line
Other
Previous
Next
Submit
Press
Enter
Should be Empty:
Now create your own Jotform - It's free!
Create your own Jotform
Question Label
1
of
24
See All
Go Back
Submit