Modern Nature Junior Consultation
As parents, we do everything we can to keep our children safe. It's time to make sure you little ones haircare products make the cut. The Modern Nature Junior line features shampoo, conditioner and detangling spray specially designed to care for children's uniquely fine and fragile manes. Plus, the line's highly concentrated formula allows you to use less product to get the job done.
We say "NO" to toxic ingredients such as...
Silicones, sulfates, parabens, phthalates, BHT, DEA/MEA, polyethylene glycol, phenoxyethanol, petrolatum, mineral oil, paraffin wax, triclosan, plastic microbeads, formaldehyde releasers, harmful colors and harmful fragrances. No animal testing.
We ARE...
Gluten free, vegan, Leaping Bunny certified and National Hair Loss Association approved.
Name
*
Email
*
Phone Number
*
Please enter a valid phone number.
Date of Birth
*
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Month
-
Day
Year
Child's age
Country of Residence
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
What best describes your child's scalp? Select all that apply
*
dry
normal
itchy
flaky
sensitive
scalp psoriasis
Other
Which best describes your child's hair texture? (How thick each strand is)
*
fine
medium
thick/course
not sure
Other
Which best describes your child's hair density (the amount of hair on your head)?
*
thin/ not a lot of hair
medium
dense/ a lot of hair
not sure
Other
Which best describes your child's hair? Select all that apply.
*
frizzy
not frizzy
damaged
brittle/breaking
oily
lifeless
tangles easily
dry
very dry
color treated
Other
Which best describes your child's hair? Select all that apply.
*
curly
wavy
straight
very short
short
shoulder length
long
very long
Other
How often is your child's hair washed?
*
every day
every other day
every 3-4 days
every 5+days
Other
How do you style your child's hair? Select all that apply.
*
air dry
blow dry
curling iron or flat iron
air dry, then curling or flat iron
Other
Do your child have any hair loss? If so which best describes your child's hair?
thinning
some bald spots
severe balding
hair loss due to medical reasons
Other
What is your child's current haircare routine?
Ex: shampoo conditioner detangler, heat protectant, styling products, hairspray etc.
What haircare brands does your child currently use?
Is there anything we should know about your child's hair?
Which of the following styling products are you interested in?
*
Shampoo
Conditioner
Detangler
Leave-in Conditioner
Is your child allergic to nuts or soy?
*
nuts
soy
both
neither
Which other products are you interested in?
skincare
women's products
kid's products
dog products
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