HI GORGEOUS!
Welcome To Modern Nature!
We are the #1 fastest growing hair care company in the world. Our naturally based, vegan + leaping bunny approved hair care products began in the US! We have since then expanded to Canada, UK, Poland + Ireland and we will soon be GLOBAL! Our products are derived with a scientific board, they are clinically backed, and use the BEST and SAFEST ingredients to create beautiful, shiny, healthy hair!
We say no
to MANY harmful ingredients that are allowed in beauty products in the USA. These include: parabens, phthalates, PEGs, sulfates, cyclic silicones, DEA/MEA, formaldehyde releasers, mineral oil, paraffin wax, harmful fragrances, harsh salt systems, and harmful colors! We abide by EU standards which ban over 1300 ingredients from beauty products, meaning that our products use only the best ingredients!
Name
First Name
Last Name
Phone Number
-
Area Code
Phone Number
Email
example@example.com
What is your date of birth?
-
Month
-
Day
Year
Date
What are you currently using for hair products?
What is your scalp type?
Oily
Dry
Flaky
Dry and flaky
Oily and flaky
Psoriasis
Normal
Other
What is your hair density? (amount of hair on your head)
Fine
Very thin
Medium
Thick
Very thick/coarse
Other
What is your hair texture? (Thickness of each strand)
Thin
Medium
Thick
Very thick/coarse
Which describe your hair? (Select all that apply)
Frizzy
Broken
Damaged
Over processed
Dry
Flat
Tangly
Dull
Thinning
Bald spots
Other
Which best describes your hair? (Select all that apply)
Long
Medium length
Shoulder length
Very short
Curly
Wavy
Straight
Other
Do you have split ends?
Yes
No
Other
What do you need more of?
Moisture
Hydration
Volume
Other
How often do you wash your hair?
Daily
1-2 days
3-4 days
4+ days
How do you color your hair?
I don’t
Bleaching/lightening
Glazing
Normal coloring
Box dye
How do you style your hair?
Air dry
Blow dry
Air dry + blow dry
Air dry then flat iron/curling iron
Are you allergic to nuts or soy?
Nuts
Soy
Both
Neither
Other
What’s your current hair routine?
What’s your main hair goal?
If you feel comfortable, please upload a current photo of your hair. This helps me customize the perfect product line for you!
Browse Files
Cancel
of
Thank you for taking the time out of your day to complete this questionnaire! This information will help me decide which products will help you reach your hair goals! I can’t wait to get you started on this journey! 💓Stephenie
Submit
Should be Empty: